JESSICA BASTIAN

FORT LAUDERDALE, FL
NPI1477236297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: FL  ND12214)
Enumeration Date2023-08-09
Last Update Date2023-08-09
Business Address
JESSICA BASTIAN RD
400 NE 3RD AVE APT 1520
FORT LAUDERDALE, FL 33301-4099
Phone number: 954-651-4748
Mailing Address
JESSICA BASTIAN RD
4748 NE 17TH AVE
OAKLAND PARK, FL 33334-5610
Phone number: 954-651-4748
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