GENEVIEVE T BASTOS

PORTAGE, MI
NPI1902843774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI  4704216473)
Enumeration Date2006-06-01
Last Update Date2020-09-01
Business Address
GENEVIEVE T BASTOS NP
2700 E CENTRE AVE
PORTAGE, MI 49002-5500
Phone number: 269-286-7050
Mailing Address
GENEVIEVE T BASTOS NP
5943 STADIUM DR STE 3
KALAMAZOO, MI 49009-3016
Phone number: