JUAN ALBERTO BASTIDA

AUSTIN, TX
NPI1164965968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TX  332407)
Enumeration Date2016-11-28
Last Update Date2016-11-28
Business Address
-- JUAN ALBERTO BASTIDA lvn
1434 SIR THOPAS TRL
AUSTIN, TX 78748-3741
Phone number: 512-424-9282
Mailing Address
-- JUAN ALBERTO BASTIDA lvn
1434 SIR THOPAS TRL
AUSTIN, TX 78748-3741
Phone number: 512-424-9282
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