Individual
DR. AMY L. BOURASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
556 WESTON DR, CAMPBELL, CA 95008-3730
(408) 420-3209
Mailing address
556 WESTON DR, CAMPBELL, CA 95008-3730
(408) 420-3209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G86603
CA
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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