Individual
DAN BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
412 W MAIN ST, ARTESIA, NM 88210-2031
(575) 513-9430
Mailing address
412 W MAIN ST, ARTESIA, NM 88210-2031
(575) 513-9430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1977
NM
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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