SearchKansas104100000X

Joanna Bustamante

NPI 1912663931 · on the registry since 2021 · sole proprietor

Practice

Address
1216 Old Manor Rd
Garden City, KS 67846
Phone
(620) 640-0051

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas