RICHARD B BASTER

DELTONA, FL
NPI1720660145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5233622)
Enumeration Date2021-04-26
Last Update Date2021-04-26
Business Address
RICHARD B BASTER LPN
1415 LA CASITA ST
DELTONA, FL 32725-7428
Phone number: 386-320-2181
Mailing Address
RICHARD B BASTER LPN
1415 LA CASITA ST
DELTONA, FL 32725-7428
Phone number: 386-320-2181
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