JACKIE LYNN BUSTAMANTE

LONG BEACH, CA
NPI1174682009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  30317)
Enumeration Date2006-12-06
Last Update Date2011-04-20
Business Address
Ms. JACKIE LYNN BUSTAMANTE
1716 CLARK AVE STE 109
LONG BEACH, CA 90815-3801
Phone number: 562-706-1072
Mailing Address
Ms. JACKIE LYNN BUSTAMANTE
1716 CLARK AVE # 109
LONG BEACH, CA 90815-3801
Phone number: 562-706-1072
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