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Individual

ANDREA ELAINE BUSTAMANTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND, DOM

Contact information

Practice address
1331 MAESTAS RD, TAOS, NM 87571-6268
(575) 776-7806
Mailing address
688 CALLECITA JICARILLA, SANTA FE, NM 87505-4940
(505) 670-6726

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
NM
175F00000X
Naturopath
Primary
NM

Other

Enumeration date
10/05/2021
Last updated
10/10/2021
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