Individual
BRENDA BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11881 DYER ST, EL PASO, TX 79934-2649
(915) 730-5726
Mailing address
1909 PUEBLO NUBES LN, EL PASO, TX 79936-0932
(915) 730-5726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
121211
TX
Other
Enumeration date
08/22/2019
Last updated
02/13/2025
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