Individual
MS. STACYE L BASYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
245 TERRACINA BLVD, SUITE NUMBER 105, REDLANDS, CA 92373-4852
(909) 792-9737
(909) 793-6978
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 792-9737
(909) 793-6978
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
33588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532491
BCBS
AL
Enumeration date
07/02/2006
Last updated
12/08/2021
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