RICHARD LOPEZ BUSTOS

CARLSBAD, NM
NPI1366123978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  SLPCF23032)
Enumeration Date2023-07-26
Last Update Date2023-07-26
Business Address
RICHARD LOPEZ BUSTOS MS
1804 W TANSILL ST
CARLSBAD, NM 88220-3796
Phone number: 408-966-0942
Mailing Address
RICHARD LOPEZ BUSTOS MS
2402 N RIVERSIDE DR
ESPANOLA, NM 87532-8122
Phone number: 575-343-2991