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Individual

JOSEFA BUSTOS LOPEZ

Active
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Individual

JOSEFA BUSTOS LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2106087514
NV
Enumeration date
08/14/2020
Last updated
06/27/2024
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