Individual
GEOANNA MARIE S BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-3891
(916) 456-2236
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-3891
(916) 456-2236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125067243
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A155189
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
04/02/2021
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