DAVID ISMAEL SILVA BUSTAMANTE

MARYSVILLE, WA
NPI1811751696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  61510432)
Enumeration Date2024-02-12
Last Update Date2024-02-12
Business Address
DAVID ISMAEL SILVA BUSTAMANTE pta
17020 TWIN LAKES AVE STE C101
MARYSVILLE, WA 98271-4731
Phone number: 360-658-8400
Mailing Address
DAVID ISMAEL SILVA BUSTAMANTE pta
1203 BASELINE RD
BULLHEAD CITY, AZ 86442-7026
Phone number: 928-542-2283
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