Individual
BRADLEY BATISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 256-9998
Mailing address
50 FAIR DR, SAN RAFAEL, CA 94901-1213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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