LEE YOUNG BASTIAN

CHARLESTON, SC
NPI1497139117
Former NameTRESSA LEE YOUNG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: SC  19552)
Enumeration Date2015-07-13
Last Update Date2020-10-29
Business Address
MRS. LEE YOUNG BASTIAN APRN
615 WESLEY DR SUITE 200
CHARLESTON, SC 29407-7204
Phone number: 843-571-6880
Mailing Address
MRS. LEE YOUNG BASTIAN APRN
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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