# EDUARDO BAUTISTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003607920
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 05/13/2025
- **Last updated:** 05/13/2025