Individual
JENNIFER BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(206) 461-4880
Mailing address
4147 DELRIDGE WAY SW APT B, SEATTLE, WA 98106-1251
(509) 200-8119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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