Individual
MRS. MARIEL BALOT BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12291 WASHINGTON BLVD STE 300, WHITTIER, CA 90606-2549
(562) 967-2840
(562) 967-2853
Mailing address
12291 WASHINGTON BLVD STE 300, WHITTIER, CA 90606-2549
(562) 967-2840
(562) 967-2853
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006528
CA
Other
Enumeration date
05/30/2017
Last updated
04/11/2025
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