Individual
MONICA BASULTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 LAS TABLAS RD, TEMPLETON, CA 93465-9704
(805) 434-3500
Mailing address
85 RIO CT APT 203, PASO ROBLES, CA 93446-5809
(559) 970-2779
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
820373
CA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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