Individual
TERESA MARIE BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
915 N TOWN EAST BLVD, MESQUITE, TX 75150-4743
(972) 613-7950
(972) 682-4599
Mailing address
915 N TOWN EAST BLVD, MESQUITE, TX 75150-4743
(972) 613-7950
(972) 682-4599
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
140224
TX
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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