Marysol Bautista
NPI #1023588498 in Stockton, California
Provider Information
- NPI Number
- 1023588498
- Entity Type
- Individual
- Name
- Marysol Bautista
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Enumeration Date
- Nov 28, 2018
- Last Updated
- Nov 28, 2018
Practice Location
- Address
- 2291 W MARCH LN STE C101
- City
- Stockton
- State
- California
- ZIP Code
- 95207-6669
- Phone
- (209) 735-0525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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