ELLEN BUSTAMANTE

POMONA, CA
NPI1619405214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: NV  2254)
Additional Taxonomies235Z00000X Speech-Language Pathologist
(Licence: CA  22155)
Enumeration Date2017-05-25
Last Update Date2019-11-08
Business Address
ELLEN BUSTAMANTE MA, CCC-SLP
255 E BONITA AVE
POMONA, CA 91767-1923
Phone number: 909-596-7733
Mailing Address
ELLEN BUSTAMANTE MA, CCC-SLP
6131 ANDOVER WOOD RD
LAS VEGAS, NV 89113-1882
Phone number: 714-928-4009