REX BUSTAMAMNTE

DETROIT, MI
NPI1285350587
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WM0705X Registered Nurse, Medical-Surgical
(Licence: MI  4704233790)
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
REX BUSTAMAMNTE
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
REX BUSTAMAMNTE
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: