Individual
ELIZABETH CARDENAS BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1493 CAMBRIDGE ST RM 239, CAMBRIDGE, MA 02139-1047
(617) 575-5399
Mailing address
1361 MERCER AVE, EAST POINT, GA 30344-5010
(678) 525-4148
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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