COREY BASCONE

SACRAMENTO, CA
NPI1568996056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: CA  A163351)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence:   00000000000000000000)
Enumeration Date2017-04-12
Last Update Date2019-10-04
Business Address
COREY BASCONE
2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY NAOB 6TH FLOOR - PLASTICS
SACRAMENTO, CA 95817-2201
Phone number: 973-971-5000
Mailing Address
COREY BASCONE
2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY NAOB 6TH FLOOR - PLASTICS
SACRAMENTO, CA 95817-2201
Phone number: