Individual
MRS. MARIANNE BASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1301 N A ST, LOMPOC, CA 93436-3516
(805) 742-3300
Mailing address
101 OAK HILL DR, LOMPOC, CA 93436-1118
(805) 733-0552
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
319725
CA
363LP2300X
Primary Care Nurse Practitioner
16167
CA
Other
Enumeration date
05/18/2010
Last updated
06/03/2019
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