Individual
RICHARD LOPEZ BUSTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1804 W TANSILL ST, CARLSBAD, NM 88220-3796
(408) 966-0942
Mailing address
2402 N RIVERSIDE DR, ESPANOLA, NM 87532-8122
(575) 343-2991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPCF23032
NM
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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