MARINA BASTA, STUDENT

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1104408442

Practice Address

18646 OXNARD ST
Tarzana, CA 91356

Phone: (818) 654-3908

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1104408442 is the National Provider Identifier for MARINA BASTA, STUDENT, a Student in an Organized Health Care Education/Training Program provider located in Tarzana, CA. This NPI was enumerated on April 26, 2021.
MARINA BASTA, STUDENT practices at 18646 OXNARD ST, Tarzana, CA 91356.

Quick Facts

NPI
1104408442
Type
Individual
Enumerated
Apr 26, 2021
Last Updated
Apr 26, 2021

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