Vanessa M Michelena Basantes, PA-C
NPI #1053666297 in Fontana, California
Provider Information
- NPI Number
- 1053666297
- Entity Type
- Individual
- Name
- Vanessa M Michelena Basantes, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 13, 2012
- Last Updated
- Jun 3, 2014
Practice Location
- Address
- 4904 TAHAN WAY
- City
- Fontana
- State
- California
- ZIP Code
- 92336-0428
- Phone
- (909) 561-5032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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