Individual
MR. DERE RANDOLPH BUSHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
1437 N STUDEBAKER RD, LONG BEACH, CA 90815-4838
(562) 598-0553
Mailing address
1437 N STUDEBAKER RD, LONG BEACH, CA 90815-4838
(562) 598-0553
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN288389
CA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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