Individual
MR. ANTHONY SATOYA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 JEFFERSON AVE, SUITE 202, REDWOOD CITY, CA 94063-1739
(650) 817-9070
(650) 817-9074
Mailing address
546 HENRY ST, VALLEJO, CA 94591-4818
(650) 817-9070
(650) 817-9074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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