Individual
MARTINA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
614 DIVISION ST, PORT ORCHARD, WA 98366-4614
(360) 337-7116
(360) 337-7116
Mailing address
614 DIVISION ST, PORT ORCHARD, WA 98366-4614
(360) 337-7116
(360) 337-7116
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00059033
WA
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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