Individual
MISS CATHERINE ROBLES BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6795 S AGILYSYS WAY STE 130, LAS VEGAS, NV 89113-2333
(702) 948-1155
(702) 949-6207
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24204
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427685965
—
NV
01
—
24204
STATE LICENSE
NV
Enumeration date
03/25/2020
Last updated
05/13/2024
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