Anthony Bustos, CONTRACTS/CORRECTION

NPI #1124351192 in Clovis, New Mexico

Provider Information

NPI Number: 1124351192
Entity Type: Individual
Name: Anthony Bustos, CONTRACTS/CORRECTION
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: CONTRACTS/CORRECTION
Enumeration Date: Sep 9, 2009
Last Updated: Sep 9, 2009

Practice Location

Address: 121 TOWNSGATE
City: Clovis
State: New Mexico
ZIP Code: 88101
Phone: (575) 742-2620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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