Individual
ANDREA VICTORIA BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1421 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87107-7018
(505) 344-0051
Mailing address
3224 RHODE ISLAND DR NE, ALBUQUERQUE, NM 87110-2429
(505) 400-5851
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
RP00009374
NM
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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