EDWARD ANDREWMALCOM BUSTAMANTE

SAN BERNARDINO, CA
NPI1720751068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-30
Last Update Date2024-01-04
Business Address
EDWARD ANDREWMALCOM BUSTAMANTE
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
Mailing Address
EDWARD ANDREWMALCOM BUSTAMANTE
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
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