Individual
GERJEL A BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2455 SAND CREEK RD STE 144, BRENTWOOD, CA 94513-7176
(925) 679-4876
(925) 679-4888
Mailing address
803 DUNMORE ST, OAKLEY, CA 94561-2858
(510) 931-0637
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95028414
CA
Other
Enumeration date
12/19/2023
Last updated
06/06/2024
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