GRACIOUS K BASA

MURRIETA, CA
NPI1649555939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  20961)
Enumeration Date2011-10-18
Last Update Date2013-02-08
Business Address
-- GRACIOUS K BASA FNP
41670 IVY ST SUITE B
MURRIETA, CA 92562-1707
Phone number: 951-600-7702
Mailing Address
-- GRACIOUS K BASA FNP
41670 IVY ST SUITE B
MURRIETA, CA 92562-1707
Phone number: 951-600-7702
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