Maria Bautista, R1432380621

NPI #1538737333 in Irwindale, California

Provider Information

NPI Number
1538737333
Entity Type
Individual
Name
Maria Bautista, R1432380621
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
R1432380621
Enumeration Date
Jun 16, 2021
Last Updated
Jun 16, 2021

Practice Location

Address
13001 RAMONA BLVD
ZIP Code
91706-3752
Phone
(626) 472-6000

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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