Individual
JANNETH BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2010 E 1ST ST STE 100, SANTA ANA, CA 92705-4086
(714) 556-7246
Mailing address
2010 E 1ST ST STE 100, SANTA ANA, CA 92705-4086
(714) 556-7246
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95004180
CA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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