Individual
SHEYANNE MARIE BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 114TH ST, LUBBOCK, TX 79424
(806) 698-6828
(806) 698-5900
Mailing address
4405 114TH ST, LUBBOCK, TX 79424
(806) 698-6828
(806) 698-5900
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
246636
TX
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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