Individual
CRISELDA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 DESERT OAK CT APT B, LAS VEGAS, NV 89145-2482
(847) 915-2687
Mailing address
800 DESERT OAK CT APT B, LAS VEGAS, NV 89145-2482
(847) 915-2687
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/25/2021
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