Individual
RAQUEL BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 327-5660
Mailing address
553 HEWITT ST, PUEBLO, CO 81005-1522
(712) 230-4335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1700181
CO
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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