Individual
CHRISTY RAE BASCOCHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3306 RENNER DR, FORTUNA, CA 95540-3120
(707) 725-6101
(707) 725-2978
Mailing address
670 9TH ST STE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
622971
CA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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