KRISTA BASILE TABUENCA

LOS ANGELES, CA
NPI1255813762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CA  PSY34041)
Enumeration Date2018-08-30
Last Update Date2024-06-21
Business Address
KRISTA BASILE TABUENCA
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095-8549
Phone number: 310-825-9989
Mailing Address
KRISTA BASILE TABUENCA
5767 W CENTURY BLVD
LOS ANGELES, CA 90095-5631
Phone number:
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