Individual
CHRISTINA BASHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 BLUFFVIEW DR, ANGOLA, IN 46703-2206
(260) 667-8244
Mailing address
710 BLUFFVIEW DR, ANGOLA, IN 46703-2206
(260) 667-8244
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
32002321A
IN
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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