Individual
JULIA BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11715 SW 18TH ST APT 206, MIAMI, FL 33175-1692
(786) 316-2853
Mailing address
11715 SW 18TH ST APT 206, MIAMI, FL 33175-1692
(786) 316-2853
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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