Mr. Pedro D Bautista
Mr. Pedro D Bautista is a Student in an Organized Health Care Education/Training Program in Modesto, California. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
2000 W Briggsmore Ave IModesto, CA 95350-3839
Phone: (209) 526-1440
Fax: (209) 550-4903
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1689916561 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 19, 2013 |
| Last updated in NPPES | May 28, 2015 |
| Mailing address | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 |
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