Individual
ROVILYN BASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2024 GEYSERVILLE ST, CHULA VISTA, CA 91913-4615
(619) 817-9262
Mailing address
2024 GEYSERVILLE ST, CHULA VISTA, CA 91913
(619) 817-9262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2366
CA
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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