VANESSA M MICHELENA BASANTES

FONTANA, CA
NPI1053666297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2012-07-13
Last Update Date2014-06-03
Business Address
-- VANESSA M MICHELENA BASANTES PA-C
4904 TAHAN WAY
FONTANA, CA 92336-0428
Phone number: 909-561-5032
Mailing Address
-- VANESSA M MICHELENA BASANTES PA-C
4904 TAHAN WAY
FONTANA, CA 92336-0428
Phone number: 909-561-5032