JACKIE BUSTAMANTE

BANNING, CA
NPI1174682009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  30317)
Enumeration Date2006-12-06
Last Update Date2026-02-22
Business Address
Ms. JACKIE BUSTAMANTE
2200 W WILSON ST SPC 33
BANNING, CA 92220-3953
Phone number: 840-336-3506
Mailing Address
Ms. JACKIE BUSTAMANTE
6444 E SPRING ST # 179
LONG BEACH, CA 90815-1553
Phone number: 562-706-1072
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