Individual
DR. DAVID WAYNE BASISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6940 SANTA TERESA BLVD, #2, SAN JOSE, CA 95119-1345
(408) 363-1991
(408) 363-1989
Mailing address
6940 SANTA TERESA BLVD, #2, SAN JOSE, CA 95119-1345
(408) 363-1991
(408) 363-1989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC21229
CA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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