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Individual

ROMAN BUSTAMANTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11003 OAKTREE PARK, SAN ANTONIO, TX 78249-4440
(210) 727-1899
Mailing address
11003 OAKTREE PARK, SAN ANTONIO, TX 78249-4440
(210) 727-1899

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
374U00000X
Home Health Aide

Other

Enumeration date
12/18/2020
Last updated
12/18/2020
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