Individual
YVETTE R BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
906 W ILLINOIS AVE, MIDLAND, TX 79701-6198
(806) 787-2733
Mailing address
3700 N A ST APT 5207, MIDLAND, TX 79705-5441
(806) 787-2733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7435
TX
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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