Individual
JOCELYN BAUTISTA
Active
Individual
JOCELYN BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35076747
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130023608
MEDICARE RAILROAD
OH
05
—
2259845
—
OH
Enumeration date
06/16/2006
Last updated
12/21/2007
Update your record
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