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Individual

BRIAN K BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN,BSN

Contact information

Practice address
12054 CLARK ST APT 101, MORENO VALLEY, CA 92557-8652
(630) 697-2166
Mailing address
2085 RUSTIN AVE BLDG 3, RIVERSIDE, CA 92507-2498
(951) 955-2105

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
95176298
CA

Other

Enumeration date
01/19/2024
Last updated
01/19/2024
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