Most Relevant Information
Provider Data
NPI Number: | 1003539263 |
Provider Name: | NATACHA BAZIN |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | MH21307 |
Most Important Dates
Enumeration Date: | 09/22/2022 |
Last Updated: | 02/07/2024 |
Provider Practice Location
1015 BIG TORCH ST
RIVIERA BEACH
FL
334071140
Practice Location Phone/Fax
Phone: | 5612344195 |
Fax: |
Provider Mailing Location
1015 BIG TORCH ST
RIVIERA BEACH
FL
334071140
Provider Mailing Phone/Fax
Phone: | 5612344195 |
Fax: |