Jimmiela Bruessard
Student in an Organized Health Care Education/Training Program in Elk Grove, CA. Individual provider (NPI-1).
NPI number1801413596
StatusActive
Last updated in NPPESAug 2, 2022
Details
- NPI
- 1801413596
- Entity type
- Individual (NPI-1)
- Name
- Jimmiela Bruessard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2020
- Certification date
- Aug 2, 2022
- Last updated
- Aug 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 103K00000X | Behavior Analyst | – | – |
Practice location
9412 Big Horn Blvd Ste 6Elk Grove, CA 95758-1101
Phone 916-533-6335
Mailing address
1704 Miramonte Ave Ste 3Mountain View, CA 94040-3718
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All 84 Student in an Organized Health Care Education/Training Program providers in Elk Grove · All 4,410 providers in Elk Grove
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