Individual
LILIANA BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
8263 GROVE AVE, RANCHO CUCAMONGA, CA 91730-3107
(909) 920-9906
Mailing address
2480 CAMERON AVE, COVINA, CA 91724-3921
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2350
CA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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