Individual
MARK BAUTISTA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9417 DUNBAR DR, OAKLAND, CA 94603-3014
(510) 846-1163
(510) 846-1163
Mailing address
9417 DUNBAR DR, OAKLAND, CA 94603-3014
(510) 846-1163
(510) 846-1163
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
646488
CA
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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