MARK BASTA

HAYWARD, CA
NPI1679073803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  OPT7412-TLG)
Enumeration Date2018-02-14
Last Update Date2018-02-14
Business Address
Mr. MARK BASTA O.D.
1237 B ST.
HAYWARD, CA 94541
Phone number: 510-593-4876
Mailing Address
Mr. MARK BASTA O.D.
1237 B ST.
HAYWARD, CA 94541
Phone number: 510-593-4876
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