Individual
DUSTIN JAMES BURCOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E 16TH ST APT C, COSTA MESA, CA 92627-3847
(714) 932-7055
Mailing address
200 E 16TH ST APT C, COSTA MESA, CA 92627-3847
(714) 932-7055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
822375
CA
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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