Bustamante, Myra

Bustamante, Myra is an individual health care provider with primary practice located at 12755 N Highway 88 , Lodi CA 95240-9323. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is her primary health care specialty. Bustamante, Myra can be contacted via phone (209) 340-5800.

Contact Information

Primary practice address
12755 N Highway 88 Lodi CA 95240-9323
Phone: (209) 340-5800
Fax: (209) 340-5804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP034207 Arizona
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN682197 California

Profile Details

NPI number 1730474529
LBN Legal business name Bustamante, Myra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2011
Last updated Apr 20th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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