Individual
ASHLEY BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21720 S VERMONT AVE STE A101, TORRANCE, CA 90502-2127
(310) 328-0982
Mailing address
690 DEL MONTE ST, PASADENA, CA 91103-2031
(626) 379-6956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85950
CA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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