Marina Basta, STUDENT
NPI #1104408442 in Tarzana, California
Provider Information
- NPI Number
- 1104408442
- Entity Type
- Individual
- Name
- Marina Basta, STUDENT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- STUDENT
- Enumeration Date
- Apr 26, 2021
- Last Updated
- Apr 26, 2021
Practice Location
- Address
- 18646 OXNARD ST
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-1411
- Phone
- (818) 654-3908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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