Individual
CAROLINE A BAUTISTA
Active
Individual
CAROLINE A BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHM
Taxonomy
Speciality
Code
Description
License number
State
246QM0900X
Microbiology Specialist/Technologist
Primary
PHM35613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHM35613
LICENSE NUMBER
CA
Enumeration date
05/18/2007
Last updated
07/08/2007
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