Individual
MRS. BRENDA ANN BUSHEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7901
(949) 722-7038
(949) 630-4930
Mailing address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7901
(949) 722-7038
(949) 630-4930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13813
CA
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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