Individual
MR. ANTONIO MUSNI BUSTOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 LONDON ST, AMB RESIDENTIAL CARE HOME, SAN FRANCISCO, CA 94112-2028
(415) 452-3172
Mailing address
219 LONDON ST, AMB RESIDENTIAL CARE HOME, SAN FRANCISCO, CA 94112-2028
(415) 452-3172
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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