Individual
MRS. CARMEN MANGALINO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3142 G ST, MERCED, CA 95340-1368
(209) 383-9086
(209) 383-0624
Mailing address
3142 G ST, MERCED, CA 95340-1368
(209) 383-9086
(209) 383-0624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 58247
CA
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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