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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Popular Providers
-
Alexander, Felisha Tamone
1111 W Tokay St , Lodi CA 95240-3965 -
Arquines, Rey Osana
1601 Lake St , Lodi CA 95242-2436 -
Avila, Linda Cecilia
1601 Lake St , Lodi CA 95242-2436 -
Alfaro, Angeles
441 S Ham Ln Ste A , Lodi CA 95242-3525 -
Magana, Sylvia Marie
321 W Turner Rd , Lodi CA 95240-0517 -
Yerena, Monica M
1601 Lake St , Lodi CA 95242-2436 -
Prasad-Mangal, Meenal Mandeeta
441 S Ham Ln Ste A , Lodi CA 95242-3525 -
Garcia, Jose Daniel
12755 Ca-88 , Lodi CA 95240