Carlos G. Bautista SR.
NPI #1336792845 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1336792845
- Entity Type
- Individual
- Name
- Carlos G. Bautista SR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Driver
- Enumeration Date
- Jul 23, 2019
- Last Updated
- Jul 23, 2019
Practice Location
- Address
- 1643 N 20TH AVE
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60160-1903
- Phone
- (872) 239-0010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
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