Individual
ARLENE BAUTISTA
Active
Individual
ARLENE BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
637370
CA
253Z00000X
In Home Supportive Care Agency
BL10120567
CA
310400000X
Assisted Living Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Enumeration date
11/06/2015
Last updated
03/10/2023
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