Individual
YVONNE BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10815 BLACK BEAR RD, JUNEAU, AK 99801-8783
(907) 523-6605
Mailing address
10815 BLACK BEAR RD, JUNEAU, AK 99801-8783
(907) 523-6605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
08/21/2023
Last updated
09/18/2023
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