Individual
RICHARD B BASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1415 LA CASITA ST, DELTONA, FL 32725-7428
(386) 320-2181
Mailing address
1415 LA CASITA ST, DELTONA, FL 32725-7428
(386) 320-2181
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5233622
FL
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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