JIMMY BUSTOS

ORANGE, CA
NPI1396047841
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  sp 9065)
Enumeration Date2010-12-02
Last Update Date2010-12-02
Business Address
-- JIMMY BUSTOS
1301 W PROVIDENCE AVE
ORANGE, CA 92868-3808
Phone number: 714-639-4990
Mailing Address
-- JIMMY BUSTOS
1301 W PROVIDENCE AVE
ORANGE, CA 92868-3808
Phone number:
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