Individual
SUNNY JAMES BAUTISTA BUSTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13049 MISTY MEADOW CT, MORENO VALLEY, CA 92555-4535
(951) 452-6691
Mailing address
13049 MISTY MEADOW CT, MORENO VALLEY, CA 92555-4535
(951) 452-6691
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
28941
CA
314000000X
Skilled Nursing Facility
28941
CA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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