Individual
CRISTOBAL CRISTIAN BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
79125 CORPORATE CENTER DR, #5644, LA QUINTA, CA 92253-9998
(760) 485-8408
Mailing address
PO BOX 5644, LA QUINTA, CA 92248-5644
(760) 485-8408
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86059164
CA
Other
Enumeration date
11/19/2024
Last updated
01/23/2025
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