Individual
KAREN LYNN BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA, CST, CRCST
Contact information
Practice address
14141 AZALEA PARK AVE APT C, BATON ROUGE, LA 70816-1674
(573) 410-2908
Mailing address
14141 AZALEA PARK AVE APT C, BATON ROUGE, LA 70816-1674
(573) 410-2908
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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