Individual
JHOANNE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. PH.D.
Contact information
Practice address
KAISER PERMANENTE SAN LEANDRO, 2500 MERCED STREET, SAN LEANDRO, CA 94577
(510) 298-2146
Mailing address
KAISER PERMANENTE SAN LEANDRO, 2500 MERCED STREET, SAN LEANDRO, CA 94577
(510) 298-2146
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A138904
CA
Other
Enumeration date
04/01/2014
Last updated
04/03/2024
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