Individual
MRS. MARCELINA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 SAN FELIPE AVE, SAN BRUNO, CA 94066-5501
(650) 952-4398
(650) 583-6120
Mailing address
188 SAN FELIPE AVE, SAN BRUNO, CA 94066-5501
(650) 952-4398
(650) 583-6120
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
415600504
CA
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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