JONATHAN CHARLES BASTICK

LOUISVILLE, KY
NPI1679216170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-14
Last Update Date2022-04-14
Business Address
JONATHAN CHARLES BASTICK
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 330-416-1645
Mailing Address
JONATHAN CHARLES BASTICK
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 330-416-1645