Individual
SELINDA BUSTAMANTE-MANCILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 N MCCOLL RD, STE J, MCALLEN, TX 78501-5693
(210) 890-6027
Mailing address
3300 N MCCOLL RD, STE J, MCALLEN, TX 78501-5693
(210) 890-6027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP133911
TX
Other
Enumeration date
07/03/2017
Last updated
09/13/2021
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