Individual
GILBERT PANGULAYAN BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
222 PIEDMONT AVE, SUITE 5200, CINCINNATI, OH 45219-4231
(513) 475-7363
Mailing address
2484 BYERS RIDGE DRIVE, MIAMISBURG, OH 45342
(425) 791-0213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN157482
OH
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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