Individual
ANTHONY BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 CIRBY HILLS DR BLDG A, ROSEVILLE, CA 95678-4360
(916) 788-8144
Mailing address
PO BOX 1011, DAVIS, CA 95617-1011
(530) 601-0026
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
10/25/2023
Last updated
01/14/2026
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