Individual
DARLEEN RUBY BUSTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2523 CARROLL ST APT D, NORTH LAS VEGAS, NV 89030-5475
(702) 300-6078
(725) 214-7768
Mailing address
1516 E TROPICANA AVE STE 199, LAS VEGAS, NV 89119-8323
(725) 214-7776
(725) 214-7768
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1606260402
—
NV
Enumeration date
08/21/2020
Last updated
08/26/2020
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