Individual
MRS. LUPITA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 E SAUNDERS ST, SUITE 2, LAREDO, TX 78041-5434
(956) 791-4800
(956) 791-4422
Mailing address
2335 E SAUNDERS ST, SUITE 2, LAREDO, TX 78041-5434
(956) 791-4800
(956) 791-4422
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21403
TX
Other
Enumeration date
10/17/2006
Last updated
07/09/2007
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