Individual
FLORIDETH BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1890
Mailing address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
228244
CA
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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