Anita Melendez Bustillos
Peer Specialist in Hemet, CA. Individual provider (NPI-1).
NPI number1841934775
StatusActive
Last updated in NPPESFeb 23, 2023
Details
- NPI
- 1841934775
- Entity type
- Individual (NPI-1)
- Name
- Anita Melendez Bustillos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2022
- Certification date
- Feb 23, 2023
- Last updated
- Feb 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-ZQJEDF | CA | Yes |
Practice location
3401 Mustang WayHemet, CA 92545-9257
Phone 951-743-0396
Mailing address
258 N Thompson StHemet, CA 92543-4311
Phone 951-743-0396
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