MS. KELLY N BASCOM
Transportation at 15 St, Lancaster, CA

License number
California VM147196
Category
Nursing
Type
Licensed Practical Nurse
License number
California VM147196
Category
Nursing
Type
Licensed Vocational Nurse
License number
California VM147196
Category
Transportation
Type
Private Vehicle
Address
Address
44979 15Th St WEST, Lancaster, CA 93534
Phone
(661) 264-8235
(661) 802-4727 (Fax)
National Provider ID: 1265869937
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Kelly Bascom, age 56
44979 15Th St W, Lancaster, CA 93534
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