Most Relevant Information
Provider Data
NPI Number: | 1003559378 |
Provider Name: | VICTORIA BASILE DO |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/15/2022 |
Last Updated: | 04/15/2022 |
Provider Practice Location
9330 FL-54
TRINITY
FL
34655
Practice Location Phone/Fax
Phone: | 7278344000 |
Fax: |
Provider Mailing Location
2845 W WALNUT ST
JOHNSON CITY
TN
376046365
Provider Mailing Phone/Fax
Phone: | 4239466072 |
Fax: |