Individual
CARLA BUSTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4409 E INYO ST, FRESNO, CA 93702-2977
(559) 453-3806
Mailing address
4409 E INYO ST, FRESNO, CA 93702-2977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
258988
CA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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