Individual
LORENIA BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3227 W CAMPO BELLO DR, PHOENIX, AZ 85053-1870
(602) 573-1401
Mailing address
3227 W CAMPO BELLO DR, PHOENIX, AZ 85053-1870
(602) 573-1401
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9623
AZ
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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