Casey Noelle Bautista, RD

NPI #1053944645 in San Clemente, California

Provider Information

NPI Number: 1053944645
Entity Type: Individual
Name: Casey Noelle Bautista, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Feb 21, 2020
Last Updated: Feb 21, 2020

Practice Location

Address: 32 CALLE PROSPERO
City: San Clemente
State: California
ZIP Code: 92673-3258
Phone: (949) 292-9152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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