Individual
JAMES BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-3000
(925) 935-4866
Mailing address
101 DORAL CT, VALLEJO, CA 94591-4334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85949
CA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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