Individual
MRS. NATASHA ASHLEY BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1425 EL CAMINO REAL ST, SOCORRO, NM 87801-4810
(575) 838-2647
Mailing address
700 FRANKLIN ST, SOCORRO, NM 87801-4666
(575) 838-2647
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-82076
NM
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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