Individual
DAWN BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S 1ST ST STE 100, MCALLEN, TX 78503-1215
(956) 686-3716
Mailing address
1901 S 1ST ST STE 100, MCALLEN, TX 78503-1215
(956) 686-3716
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10444
TX
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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