Individual
APPLE CAYANGA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 MERCED ST, FRESNO, CA 93721-1721
(559) 892-1125
Mailing address
4373 N VALENTINE AVE, FRESNO, CA 93722-7840
(559) 273-9186
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693455
CA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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