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Rae Meyer Bastoni, D.C.

Chiropractor in Grass Valley, CA. Individual provider (NPI-1).

NPI number1568028595
StatusActive
Last updated in NPPESMay 15, 2019

Details

NPI
1568028595
Entity type
Individual (NPI-1)
Name
Rae Meyer Bastoni
Credential
D.C.
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2019
Last updated
May 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor34507CAYes
111NR0400X Chiropractor, Rehabilitation34507CA

Practice location

124 Clydesdale Ct
Ste. K
Grass Valley, CA 95945

Phone 530-955-0065

Mailing address

124 Clydesdale Ct
Ste. K
Grass Valley, CA 95945

Phone 530-955-0065

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