Individual
MARIE J BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PENN ST, READING, PA 19602-1000
(610) 372-7712
Mailing address
86 WALNUT DR W, BERNVILLE, PA 19506-9523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN274106
PA
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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