Individual
CARLOS BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 PERKINS DR, STE C, LAS CRUCES, NM 88005-3248
(575) 523-7243
(575) 525-5641
Mailing address
301 PERKINS DR, STE C, LAS CRUCES, NM 88005-3248
(575) 523-7243
(575) 525-5641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4394
NM
Other
Enumeration date
03/21/2007
Last updated
06/08/2011
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