LARISSA BUSTAMANTE

DES MOINES, IA
NPI1053861260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  083876)
Enumeration Date2016-10-12
Last Update Date2016-10-12
Business Address
-- LARISSA BUSTAMANTE
3812 INGERSOLL AVE STE 100
DES MOINES, IA 50312-3400
Phone number: 515-255-2500
Mailing Address
-- LARISSA BUSTAMANTE
3812 INGERSOLL AVE #100
DES MOINES, IA 50312
Phone number: 515-255-2500
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