Individual
MRS. DEANNA MARIE BASTIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N BAKER AVE APT 109, EAST WENATCHEE, WA 98802-4469
(509) 393-9871
Mailing address
601 N BAKER AVE APT 109, EAST WENATCHEE, WA 98802-4469
(509) 393-9871
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60265062
WA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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