Individual
JESSICA BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 W FARIS RD STE 420, GREENVILLE, SC 29605-4253
(864) 455-5892
Mailing address
413 RIGGS RD, GRANTSBORO, NC 28529-9454
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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