Individual
AIMEE BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 W PLANE TREE AVE, QUEEN CREEK, AZ 85140-7679
(505) 573-9211
Mailing address
1302 W PLANE TREE AVE, QUEEN CREEK, AZ 85140-7679
(505) 573-9211
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
5915
NM
235Z00000X
Speech-Language Pathologist
Primary
SLP11895
AZ
Other
Enumeration date
03/06/2016
Last updated
09/16/2019
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