SAM BASTA

LOS ANGELES, CA
NPI1174092506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Enumeration Date2018-11-14
Last Update Date2018-11-14
Business Address
SAM BASTA
3757 KELTON AVE APT 211
LOS ANGELES, CA 90034-7135
Phone number: 310-465-6019
Mailing Address
SAM BASTA
3757 KELTON AVE APT 211
LOS ANGELES, CA 90034-7135
Phone number:
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