Bustamante, Larissa

Bustamante, Larissa is an sole proprietor health care provider with primary practice located at 14609 Westbrook Dr , Urbandale IA 50323-2411. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bustamante, Larissa can be contacted via phone (515) 650-3085.

Contact Information

Primary practice address
14609 Westbrook Dr Urbandale IA 50323-2411
Phone: (515) 650-3085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 083876 Iowa

Profile Details

NPI number 1053861260
LBN Legal business name Bustamante, Larissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2016
Last updated May 16th, 2025 - about last year

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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