THEODORE K BAZA

TURLOCK, CA
NPI1770202186
Other NameTED BAZA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2022-08-26
Last Update Date2022-08-26
Business Address
Mr. THEODORE K BAZA PA
1481 BLUETHROAT DR
TURLOCK, CA 95382-8529
Phone number: 209-648-8197
Mailing Address
Mr. THEODORE K BAZA PA
1481 BLUETHROAT DR
TURLOCK, CA 95382-8529
Phone number: 209-648-8197
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