IVAN BUSTAMANTE

PASADENA, CA
NPI1346720679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW116016)
Enumeration Date2018-08-16
Last Update Date2026-10-01
Business Address
IVAN BUSTAMANTE
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 626-797-6793
Mailing Address
IVAN BUSTAMANTE
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 626-797-6793
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