Individual
CYNTHIA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13200 CROSSROADS PKWY N, CITY OF INDUSTRY, CA 91746-3459
(562) 821-1491
Mailing address
13200 CROSSROADS PKWY N STE 335, CITY OF INDUSTRY, CA 91746-3485
(562) 821-1491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32442
CA
Other
Enumeration date
08/10/2012
Last updated
04/30/2021
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