Marvin Icban Bautista, D.C.
NPI #1215012778 in San Bruno, California
Provider Information
- NPI Number
- 1215012778
- Entity Type
- Individual
- Name
- Marvin Icban Bautista, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 931 SAN BRUNO AVE W RM 7
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-3435
- Phone
- (650) 225-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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