Jessica Marie Bastian
Jessica Marie Bastian is a Developmental Disabilities Clinic/Center in Leesburg, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1704 W Main StLeesburg, FL 34748-4861
Phone: (352) 702-1478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1518596030 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 6, 2020 |
| Last updated in NPPES | April 6, 2020 |
| Certification date | April 6, 2020 |
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