Individual
CRYSTAL YOLANDA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21002 E LARK DR, QUEEN CREEK, AZ 85142-1627
(480) 338-3218
Mailing address
21002 E LARK DR, QUEEN CREEK, AZ 85142-1627
(480) 338-3218
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
13096H
AZ
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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