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Individual

MRS. NICOLE MARIE BUSTAMANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1155 MILL ST # H11, RENO, NV 89502-1576
(775) 982-5868
Mailing address
7495 HUNTER GLEN DR, RENO, NV 89523-3830
(775) 750-4253

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
32905-DI-3
NV

Other

Enumeration date
11/10/2020
Last updated
11/10/2020
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