Individual
BROUILLETTE NOEL ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 TRUXTUN AVE, BAKERSFIELD, CA 93301-3137
(616) 868-7871
(661) 868-1839
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-6601
(661) 868-6666
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/15/2018
Last updated
10/05/2023
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