KENNEDY BUSTAMANTE
Community Health Worker
Active
Individual
NPI: 1104671130
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1104671130 is the National Provider Identifier for KENNEDY BUSTAMANTE, a Community Health Worker provider located in Midvale, UT. This NPI was enumerated on April 22, 2024.
KENNEDY BUSTAMANTE practices at 6856 S 700 E, Midvale, UT 84047.
Quick Facts
- NPI
- 1104671130
- Type
- Individual
- Enumerated
- Apr 22, 2024
- Last Updated
- Apr 22, 2024
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