Organization
MICHELLE BAUTISTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BAUTISTA (CERTIFIED MEDICAL ASSISTANT)
(619) 741-8988
Entity
Organization
Contact information
Practice address
8707 TROY ST APT 105, SPRING VALLEY, CA 91977-2503
(619) 741-8988
Mailing address
8707 TROY ST APT 105, SPRING VALLEY, CA 91977-2503
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
—
CA
Other
Enumeration date
04/29/2008
Last updated
04/30/2008
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