Individual
DORIS DANIELA BUSTOS-CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E 33RD ST STE 201A, VANCOUVER, WA 98663-2776
(360) 750-7964
Mailing address
100 E 33RD ST STE 201A, VANCOUVER, WA 98663-2776
(360) 750-7964
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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