PATRICIA ANN BASTA

BLUE ISLAND, IL
NPI1407087356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.002470)
Enumeration Date2009-07-27
Last Update Date2009-07-27
Business Address
MR. PATRICIA ANN BASTA RD,LDN
12935 GREGORY ST
BLUE ISLAND, IL 60406-2428
Phone number: 708-597-2000
Mailing Address
MR. PATRICIA ANN BASTA RD,LDN
12935 GREGORY ST
BLUE ISLAND, IL 60406-2428
Phone number: 708-597-2000
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