Individual
MR. RULTZ BASTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 NE 141ST ST APT 227, MIAMI, FL 33161-2874
(786) 747-1394
Mailing address
350 NE 141ST ST APT 227, MIAMI, FL 33161-2874
(786) 747-1394
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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