Jesus Antonio Bautista
NPI #1811490774 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1811490774
- Entity Type
- Individual
- Name
- Jesus Antonio Bautista
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 16, 2018
- Last Updated
- Mar 16, 2018
Practice Location
- Address
- 1601 E COLLEGE WAY
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-5612
- Phone
- (360) 848-8437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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