Individual
TABITHA BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3645 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-2729
(510) 469-1981
Mailing address
635 9TH ST, RICHMOND, CA 94801-2717
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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