Sofia Basurto STA

NPI 1487896361 - Specialist/Technologist - 2355S0801X

NPI Details
NPI 1487896361
Gender Female
Enumeration Date 03/24/2009
Last Updated 03/12/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
2223 WATERLOO CITY LN
#109
AUSTIN TX, 78741-1107, US
Phone (512) 993-6808
Fax
Business Location
2223 WATERLOO CITY LN
AUSTIN TX, 78741-1107, US
Phone
Fax
Toxanomy
Taxonomy Code 2355S0801X
License State Texas
License Number 34850
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According to our database, Sofia Basurto STA NPI is 1487896361, taxonomy code is 2355S0801X and license number is 34850, license state is located at Texas. Sofia Basurto STA physically located at 2223 Waterloo City Ln, Austin TX, 78741-1107. NPI Number Sofia Basurto STA has the Individual type.

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1487896361 NPI number is provided on an as is basis without warranty of any kind. 1487896361 is maintained by the National Plan & Provider Enumeration System. The contents of Sofia Basurto STA are for informational purposes only.