Individual
ELISE JESSICA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17005 COTTAGE LN, BELLFLOWER, CA 90706-6070
(562) 810-2392
Mailing address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5970
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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