Individual
BEVERLY LOIDA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3819 7 TREES BLVD APT 306, SAN JOSE, CA 95111-3369
(408) 963-7594
Mailing address
3819 7 TREES BLVD APT 306, SAN JOSE, CA 95111-3369
(408) 963-7594
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/25/2022
Last updated
05/25/2022
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