Dr Manuel Baustista,inc,p.s.
NPI #1184883324 in Lakewood, Washington
Provider Information
- NPI Number
- 1184883324
- Entity Type
- Organization
- Organization Name
- Dr Manuel Baustista,inc,p.s.
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jun 3, 2008
- Last Updated
- Jun 5, 2008
Practice Location
- Address
- 9115 BRIDGEPORT WAY SW
- Address 2
- SUITE #1
- City
- Lakewood
- State
- Washington
- ZIP Code
- 98499-2449
- Phone
- (253) 581-6303
Authorized Official
- Name
- DR. MANUEL BAUTISTA, M.D.
- Title
- PRESIDENT
- Phone
- (253) 581-6303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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