Individual
MRS. AMANDA BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4845 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 298-5444
Mailing address
311 AMELIA DR, EL PASO, TX 79912-4831
(915) 346-7647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84792
TX
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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