Individual
DR. ALEXANDER VICTOR BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 MIRANDA AVE UNIT 4C, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
3801 MIRANDA AVE UNIT 4C, PALO ALTO, CA 94304-1207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013916
CA
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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