AMANDA BUSTAMANTE PROVENCIO

LAS CRUCES, NM
NPI1558855650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  RS2018-0570)
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
Dr. AMANDA BUSTAMANTE PROVENCIO MD
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011-5141
Phone number: 575-521-5385
Mailing Address
Dr. AMANDA BUSTAMANTE PROVENCIO MD
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011-5141
Phone number:
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