Individual
BRIANNA DUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2259 MYRTLE AVE, EUREKA, CA 95501-3325
(707) 444-8293
(707) 444-8298
Mailing address
723 W LONG ST, EUREKA, CA 95501-3546
(707) 630-2865
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/12/2024
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