Gloria Bautista
NPI #1124860432 in Banning, California
Provider Information
- NPI Number
- 1124860432
- Entity Type
- Individual
- Name
- Gloria Bautista
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 7, 2024
- Last Updated
- Jun 7, 2024
Practice Location
- Address
- 940 E WILLIAMS ST STE 102
- City
- Banning
- State
- California
- ZIP Code
- 92220-5848
- Phone
- (951) 588-2553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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