Kyrisha Shaunta Basil Valid NPI
Individual provider · Case Manager/Care Coordinator · Barstow, CA
- NPI
- 1124519814
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-05-29
- Last updated
- 2018-05-29
Practice location
309 E Mountain View St
Barstow, CA 92311-2814
(760) 256-7279