Search › Utah › 103TC1900X
Jamie Bustamante, PHD
NPI 1982097127 · on the registry since 2015
Practice
- Address
- 409 W 400 S
Salt Lake City, UT 84101 - Phone
- (801) 364-0058
- Organisation at this address
- Wasatch Homeless Health Care, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Additional practice sites
- 850 E 300 S Ste 6, Salt Lake City, UT
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Also registered as
- 103T00000X
- Licence states on file
- AZ, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-09
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 Utah