Individual
JANICE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8680 W CHEYENNE AVE, LAS VEGAS, NV 89129-7458
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2547
NV
Other
Enumeration date
09/20/2019
Last updated
07/13/2026
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