MRS. Vernice Ann R Bautista, P.A.-C

NPI #1275654287 in La Junta, Colorado

Provider Information

NPI Number: 1275654287
Entity Type: Individual
Name: MRS. Vernice Ann R Bautista, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Apr 3, 2007
Last Updated: Feb 6, 2008

Practice Location

Address: 2201 SAN JUAN AVE
City: La Junta
State: Colorado
ZIP Code: 81050-3323
Phone: (719) 384-8181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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