CARLOS BASTARDO

PLYMOUTH, IN
NPI1417492281
Professional NameDEBRA LYNN BASTARDO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy405300000X Prevention Professional
(Licence: IN  3577690)
Enumeration Date2017-01-03
Last Update Date2017-01-03
Business Address
Mr. CARLOS BASTARDO
11191 SHADYLANE DR
PLYMOUTH, IN 46563-8623
Phone number: 574-936-4152
Mailing Address
Mr. CARLOS BASTARDO
11191 SHADYLANE DR
PLYMOUTH, IN 46563-8623
Phone number: 574-936-4152