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Mrs. Chantel Laiann Bastin, LMP
Specialist in Olympia, Washington
NPI 1386997864

Chantel Laiann Bastin is a Specialist based in Olympia, WA. Chantel Laiann Bastin practices in Olympia, WA and has the professional credentials of LMP. The NPI Number for Chantel Laiann Bastin is 1386997864 and holds a License No. MA60319175 (Washington).

The current practice location address for Chantel Laiann Bastin is 3545 Delphi Rd Sw, Olympia, WA and can be reached out via phone at 360-878-0438.

Location: 3545 Delphi Rd Sw, Olympia, WA, 98512-9345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386997864
Provider Name
Chantel Laiann Bastin
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
3545 Delphi Rd Sw, Olympia, WA, 98512-9345
Phone Number
360-878-0438
Fax Number
Provider Enumeration Date
10/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3545 Delphi Rd Sw
City
Olympia
State
Washington
Zip
98512-9345
Phone Number
360-878-0438
Fax Number
person
Provider Business Mailing Address Details
Address
3545 Delphi Rd Sw
City
Olympia
State
Washington
Zip
98512-9345
Phone Number
360-878-0438
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA60319175 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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