IVAN BUSTAMANTE

SAN DIMAS, CA
NPI1346720679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW116016)
Enumeration Date2018-08-16
Last Update Date2025-03-11
Business Address
IVAN BUSTAMANTE
180 VIA VERDE STE 200
SAN DIMAS, CA 91773-3993
Phone number: 909-599-1227
Mailing Address
IVAN BUSTAMANTE
1801 HUNTINGTON DR
DUARTE, CA 91010-2635
Phone number: 626-993-3000
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