MARY E BASSHAM

SANTA ANA, CA
NPI1861565012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  12387)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
-- MARY E BASSHAM
3130 S HARBOR BLVD 250
SANTA ANA, CA 92704-6824
Phone number: 714-619-8777
Mailing Address
-- MARY E BASSHAM
10827 KANE AVE
WHITTIER, CA 90604-1825
Phone number: 562-944-3162
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