Individual
SASHA D BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12874 FLORENCE AVE, SANTA FE SPRINGS, CA 90670-4540
(562) 567-6933
(562) 944-2710
Mailing address
12874 FLORENCE AVE, SANTA FE SPRINGS, CA 90670-4540
(562) 567-6933
(562) 944-2710
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
43241
CA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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