Abraham Velasco Bustamante, PA
NPI #1669293908 in Omak, Washington
Provider Information
- NPI Number
- 1669293908
- Entity Type
- Individual
- Name
- Abraham Velasco Bustamante, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Oct 21, 2024
- Last Updated
- Dec 11, 2024
Practice Location
- Address
- 1003 KOALA DR
- City
- Omak
- State
- Washington
- ZIP Code
- 98841-9247
- Phone
- (800) 660-2129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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