Individual
GARNET J BAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
8956 S PLACITA RANCHO DE LA VIS, VAIL, AZ 85641-2483
(520) 270-3227
Mailing address
8956 S PLACITA RANCHO DE LA VIS, VAIL, AZ 85641-2483
(520) 270-3227
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN109173
AZ
Other
Enumeration date
04/24/2008
Last updated
08/19/2011
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