Individual
JHOED BUSTAMANTE LACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
(691) 596-5501
Mailing address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
(691) 596-5501
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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