Myra Bautista, LAC

NPI #1053902262 in Berkeley, California

Provider Information

NPI Number: 1053902262
Entity Type: Individual
Name: Myra Bautista, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Jan 30, 2021
Last Updated: Jan 30, 2021

Practice Location

Address: 2801 CHERRY ST APT 2
City: Berkeley
State: California
ZIP Code: 94705-2303
Phone: (510) 833-3589

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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