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Individual

ROSA YANELY BUSTAMANTE REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OPTI.DO.70120069

Contact information

Practice address
7017 NE HIGHWAY 99 STE 202, VANCOUVER, WA 98665-0553
(360) 694-0760
(360) 694-1091
Mailing address
807 NE 163RD AVE APT B, VANCOUVER, WA 98684-9669
(360) 771-7885

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OPTI.DO.70120069
WA

Other

Enumeration date
04/10/2026
Last updated
04/10/2026
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