Individual
JENNIFER BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15532 BEAR VALLEY RD, VICTORVILLE, CA 92395-9260
(760) 245-5959
(760) 245-5516
Mailing address
12459 ORION ST, VICTORVILLE, CA 92392-8887
(760) 461-0571
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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