Individual
ALICIA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
52 MAIN ST, WINDSOR, VT 05089-1308
(802) 674-2334
Mailing address
7 MULBERRY ST APT 4, CLAREMONT, NH 03743-2541
(518) 932-9977
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0134578
VT
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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