Individual
EDLYN BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MPH, RDN, LD
Contact information
Practice address
3315 DELANO ST, HOUSTON, TX 77004-3284
(713) 566-3913
Mailing address
2953 SANDCASTLE LN, HOUSTON, TX 77057-5765
(832) 488-9385
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82406
TX
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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