Individual
GUADALUPE MONDRAGON-BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1733 EUCLID AVE, SAN DIEGO, CA 92105-5414
(619) 263-0433
(619) 263-3992
Mailing address
383 MISSION VILLAS RD, SAN MARCOS, CA 92069-2075
(702) 576-8246
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
164X00000X
Licensed Vocational Nurse
Primary
736593
CA
Other
Enumeration date
05/07/2024
Last updated
02/03/2025
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