KATHLEEN BASCO

FAIRFIELD, CA
NPI1508681990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  37313)
Enumeration Date2024-11-20
Last Update Date2024-11-20
Business Address
KATHLEEN BASCO
1480 DESCANSO LN
FAIRFIELD, CA 94533-7149
Phone number: 909-838-1514
Mailing Address
KATHLEEN BASCO
1480 DESCANSO LN
FAIRFIELD, CA 94533-7149
Phone number: 909-838-1514