Individual
VIVIANA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1486 HUNTINGTON AVE STE 100, SOUTH SAN FRANCISCO, CA 94080-5971
(000) 000-0000
Mailing address
1486 HUNTINGTON AVE STE 100, SOUTH SAN FRANCISCO, CA 94080-5971
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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