Individual
MR. FERMIN GEORGE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1333 WILLOW PASS RD STE 110, CONCORD, CA 94520-5225
(925) 676-7431
Mailing address
6 SIRAH DR, AMERICAN CANYON, CA 94503-1460
(707) 330-8431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
89262
CA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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