Individual
JAYSON LINTAG BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2831 SAINT ROSE PKWY STE 200, HENDERSON, NV 89052-4841
(702) 600-3721
(725) 266-7366
Mailing address
138 SERPENS AVE, LAS VEGAS, NV 89183-5030
(714) 330-5486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
847774
NV
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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