Individual
BRAYDON BOUWHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 N BUTTE ST, WILLOWS, CA 95988-2803
(530) 934-4641
Mailing address
207 N BUTTE ST, WILLOWS, CA 95988-2803
(530) 934-4641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA65247
CA
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2024
Last updated
04/28/2026
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