Individual
SARALYN MICHELLE BUSTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CMT, NMT
Contact information
Practice address
841 N 11TH ST, SAN JOSE, CA 95112-3120
(408) 775-5549
Mailing address
841 N 11TH ST, SAN JOSE, CA 95112-3120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82766
CA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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