Genesis I Bustamante Valle, LPN
NPI #1710852454 in West Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1710852454
- Entity Type
- Individual
- Name
- Genesis I Bustamante Valle, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 10, 2025
- Last Updated
- Oct 10, 2025
Practice Location
- Address
- 1610 MILLER PARK WAY STE 1600
- City
- West Milwaukee
- State
- Wisconsin
- ZIP Code
- 53214-3604
- Phone
- (414) 672-3801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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