ALLEN BUSTOS

SAN MATEO, CA
NPI1982421442
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   19030)
Enumeration Date2024-09-25
Last Update Date2024-09-25
Business Address
ALLEN BUSTOS
202 E BELLEVUE AVE
SAN MATEO, CA 94401-2305
Phone number: 650-343-8401
Mailing Address
ALLEN BUSTOS
202 E BELLEVUE AVE
SAN MATEO, CA 94401-2305
Phone number: 650-343-8401