Individual
ELISABETH INOMAA-BUSTILLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29995 TECHNOLOGY DR STE 103, MURRIETA, CA 92563-2633
(323) 302-1564
Mailing address
29995 TECHNOLOGY DR STE 103, MURRIETA, CA 92563-2633
(323) 302-1564
(323) 967-7081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27017
CA
Other
Enumeration date
09/15/2010
Last updated
05/21/2021
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