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Individual

RICHARD RUSTANTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, RN

Contact information

Practice address
1600 W BEVERLY BLVD, MONTEBELLO, CA 90640-3932
(323) 887-1313
Mailing address
2705 SUNRISE WAY, POMONA, CA 91767-7014
(818) 585-3664

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95051858
CA

Other

Enumeration date
05/24/2021
Last updated
05/24/2021
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