Individual
IRIS CATALINA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
73600 ALESSANDRO DR # 122, PALM DESERT, CA 92260-3606
(442) 400-6001
Mailing address
81229 ALBERTA AVE, INDIO, CA 92201-2854
(442) 400-6001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95932
CA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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