Individual
PRABHLEEN BASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23813 CUSHENBURY DR, MORENO VALLEY, CA 92553-3231
(951) 563-6236
Mailing address
23813 CUSHENBURY DR, MORENO VALLEY, CA 92553-3231
(951) 563-6236
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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