Individual
BRYCE BRENDON BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7747 SONIC CT, SPARKS, NV 89436-5435
(775) 409-7185
Mailing address
7747 SONIC CT, SPARKS, NV 89436-5435
(775) 409-7185
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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