Individual
JANEINE TIU BASCONCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 DISCOVERY DR, BAKERSFIELD, CA 93309-7032
(661) 328-9831
Mailing address
1200 DISCOVERY DR, BAKERSFIELD, CA 93309-7032
(661) 328-9831
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A153935
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/19/2014
Last updated
11/20/2020
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