Bustos, Jacqueline

Bustos, Jacqueline is an individual health care provider with primary practice located at 1350 3Rd St , La Verne CA 91750-5201. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Bustos, Jacqueline can be contacted via phone (909) 596-5921.

Contact Information

Primary practice address
1350 3Rd St La Verne CA 91750-5201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1609324615
LBN Legal business name Bustos, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2016
Last updated Sep 19th, 2016 - about 9 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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