Individual
RACHEL BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MANHATTAN BLVD, HARVEY, LA 70058-4443
(504) 349-7673
Mailing address
501 MANHATTAN BLVD, HARVEY, LA 70058-4443
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
205725
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
10/21/2022
Last updated
10/21/2022
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