Individual
SUE ANN BRUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 S AUBURN ST STE C2, GRASS VALLEY, CA 95945-4318
(916) 788-8860
(530) 265-9376
Mailing address
14641 HOMBURG WAY, NEVADA CITY, CA 95959-9453
(530) 210-4158
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
OQP
CA
Other
Enumeration date
12/28/2022
Last updated
04/12/2025
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