Individual
MRS. LUCIE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1 RANDALL SQUARE, SUITE 205, PROVIDENCE, RI 02904
(401) 331-7178
(401) 331-6181
Mailing address
1 RANDALL SQUARE, SUITE 205, PROVIDENCE, RI 02904
(401) 331-7178
(401) 331-6181
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW 110
RI
Other
Enumeration date
05/23/2008
Last updated
08/29/2008
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