MARINA BASTA

TARZANA, CA
NPI1104408442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-26
Last Update Date2021-04-26
Business Address
MARINA BASTA STUDENT
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-654-3908
Mailing Address
MARINA BASTA STUDENT
25922 SPENCER CT
CALABASAS, CA 91302-3167
Phone number: 818-917-7131
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