MIGUEL BUSTAMANTE

COVINA, CA
NPI1790247047
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1338340219)
Enumeration Date2019-04-04
Last Update Date2019-04-04
Business Address
MIGUEL BUSTAMANTE
540 S EREMLAND DR STE A
COVINA, CA 91723-3186
Phone number: 626-966-1577
Mailing Address
MIGUEL BUSTAMANTE
540 S EREMLAND DR STE A
COVINA, CA 91723-3186
Phone number: 626-966-1577
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