Individual
ANTHONY OSCAR BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3576 ARLINGTON AVE, RIVERSIDE, CA 92506-3943
(559) 644-7742
Mailing address
7855 CAMERON WAY, RIVERSIDE, CA 92509-0152
(323) 217-4348
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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