SUSAN LEE DASTA

GLENDALE, CA
NPI1851452635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2002019232)
Enumeration Date2006-12-13
Last Update Date2016-07-01
Business Address
Dr. SUSAN LEE DASTA D.O.
1560 E CHEVY CHASE DR 245
GLENDALE, CA 91206-4197
Phone number: 818-246-5900
Mailing Address
Dr. SUSAN LEE DASTA D.O.
1560 E CHEVY CHASE DR 245
GLENDALE, CA 91206-4197
Phone number: 818-246-5900
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