MAKALA MARIE BASCOME

SAN DIEGO, CA
NPI1508487760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: VA  0102206849)
Enumeration Date2020-04-29
Last Update Date2024-06-07
Business Address
MAKALA MARIE BASCOME DO
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 601-679-3968
Mailing Address
MAKALA MARIE BASCOME DO
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 601-679-3968
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