| Myra Bustamante, | |
|
12755 N Highway 88, Lodi, CA 95240-9323 | |
| (209) 340-5800 | |
| (209) 340-5804 |
| Full Name | Myra Bustamante |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 12755 N Highway 88, Lodi, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730474529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP034207 (Arizona) | Secondary |
| 164X00000X | Licensed Vocational Nurse | VN682197 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Myra Bustamante, 12755 N Highway 88, Lodi, CA 95240-9323 Ph: (209) 340-5800 | Myra Bustamante, 12755 N Highway 88, Lodi, CA 95240-9323 Ph: (209) 340-5800 |
Marci Deanna Patrick, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 441 S Ham Ln Ste A, Lodi, CA 95242 Phone: 209-224-8940 | |
Meenal Mandeeta Prasad-mangal, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 441 S Ham Ln Ste A, Lodi, CA 95242 Phone: 209-224-8940 | |
David Conrad Lawry, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 11750 N Devries Rd, Lodi, CA 95242 Phone: 209-367-5894 | |
Rey Osana Arquines Sr., LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1601 Lake St, Lodi, CA 95242 Phone: 209-333-2711 | |
Mrs. Angie E Brown, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1601 Lake St, Lodi, CA 95242 Phone: 209-333-2711 | |
Alexandria Johnson, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln Ste A&b, Lodi, CA 95242 Phone: 209-553-0798 | |
Linda Cecilia Avila, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1601 Lake St, Lodi, CA 95242 Phone: 209-601-4628 |