KRISTIN J.A.E BASULTO

PASADENA, CA
NPI1790359560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2021-05-17
Last Update Date2021-05-17
Business Address
KRISTIN J.A.E BASULTO
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
Mailing Address
KRISTIN J.A.E BASULTO
815 COLORADO BLVD STE 300
LOS ANGELES, CA 90041-1744
Phone number: 323-543-2800