NPI 1003424961
Jennica Bustamante
Practice location
- Address
- 880 E Idaho Ave, Las Cruces, NM 88001-3746
- Phone
- (575) 556-1604
- Mailing address
- 1320 S Solano Dr, Las Cruces, NM 88001-3758
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003424961
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jul 2020
- Record last updated
- 16 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.