Myra Bustamante
Myra Bustamante is a Licensed Practical Nurse in Lodi, California. Licensed in Arizona and California. Registered with an NPI since 2011.
- Licensed in
- AZ, CA
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
12755 N Highway 88Lodi, CA 95240-9323
Phone: (209) 340-5800
Fax: (209) 340-5804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence VN682197 (CA) |
|---|---|
| Licensed Practical Nurse | Taxonomy 164W00000X · Licence LP034207 (AZ) |
Record details
| NPI number | 1730474529 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 9, 2011 |
| Last updated in NPPES | April 20, 2016 |
| Mailing address | 12755 N Highway 88, Lodi, CA 95240-9323 |
Other providers in Lodi
-
Mrs. Deranee Pearl G Tabor
541 S Ham Ln Ste A&b, Lodi, CA 95242-3059 · (209) 224-8940