Individual
CAROLINA BAUTISTA VALLDERUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161-0234
(415) 424-4266
Mailing address
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161-0234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME138016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102376200
—
FL
Enumeration date
06/09/2015
Last updated
09/13/2023
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