Individual
SHEILA BASTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4805 RIVERSOUND DR, SNELLVILLE, GA 30039-8553
(754) 422-6488
Mailing address
4805 RIVERSOUND DR, SNELLVILLE, GA 30039-8553
(754) 422-6488
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
9490898
FL
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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