Laura Bautista, BA

NPI #1255963872 in Venice, California

Provider Information

NPI Number: 1255963872
Entity Type: Individual
Name: Laura Bautista, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: BA
Enumeration Date: Feb 11, 2020
Last Updated: Feb 11, 2020

Practice Location

Address: 204 HAMPTON DR
City: Venice
State: California
ZIP Code: 90291-2623
Phone: (310) 392-8402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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