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Individual

ANN BUSTAMANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2677 1/2 ZOE AVE, HUNTINGTON PARK,, CA 90255
(323) 312-0640
(323) 312-0642
Mailing address
6055 E WASHINGTON BLVD, SUITE 900, COMMERCE, CA 90040-2449
(323) 346-0960
(323) 346-0966

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
03/11/2009
Last updated
05/15/2013
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