NICOLE A BUSTAMANTE

RENTON, WA
NPI1700358512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  LL60815606)
Enumeration Date2018-12-19
Last Update Date2018-12-19
Business Address
NICOLE A BUSTAMANTE SLP
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-251-5165
Mailing Address
NICOLE A BUSTAMANTE SLP
3600 LIND AVE SW SUITE 100 - CREDENTIALING
RENTON, WA 98057-4970
Phone number: 425-228-3440
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