Most Relevant Information
Provider Data
| NPI Number: | 1003566357 |
| Provider Name: | KARLI RAE GASTA |
| Entity Type: | Individual |
| Taxonomy Code: | 374700000X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2022 |
| Last Updated: | 03/28/2022 |
Provider Practice Location
2805 S MONROE ST
BAY CITY
MI
487088496
Practice Location Phone/Fax
| Phone: | 9894154919 |
| Fax: |
Provider Mailing Location
2805 S MONROE ST
BAY CITY
MI
487088496
Provider Mailing Phone/Fax
| Phone: | 9894154919 |
| Fax: |