Individual
ADARA DAWN BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 8TH ST, LAS VEGAS, NM 87701-4251
(505) 426-6462
Mailing address
614 8TH ST, LAS VEGAS, NM 87701-4251
(505) 426-6462
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2025-0900
NM
Other
Enumeration date
01/11/2023
Last updated
09/24/2025
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