Individual
ANELA BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 W RAY RD, CHANDLER, AZ 85226-2425
(480) 893-7685
Mailing address
810 W SPRUELL AVE, COOLIDGE, AZ 85128-4138
(520) 213-2386
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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