Individual
HAILEY BASTECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5930 CORNERSTONE CT W STE 300, SAN DIEGO, CA 92121-3772
(866) 687-7390
Mailing address
745 TESSA DR, SULLIVAN, MO 63080-1291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2020004330
MO
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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