Individual
JOHN D BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
860 CORBETT AVE APT 104, SAN FRANCISCO, CA 94131-1310
(707) 567-9272
Mailing address
860 CORBETT AVE APT 104, SAN FRANCISCO, CA 94131-1310
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95103469
CA
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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