Kennedy Bustamante

NPI #1104671130 in Midvale, Utah

Provider Information

NPI Number
1104671130
Entity Type
Individual
Name
Kennedy Bustamante
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Apr 22, 2024
Last Updated
Apr 22, 2024

Practice Location

Address
6856 S 700 E
State
Utah
ZIP Code
84047-1361
Phone
(801) 743-6100

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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