Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wilbur Domenden Bautista

Individual provider Medical Technologist · NPI 1205315983

Wilbur Domenden Bautista is a Medical Technologist in Tacoma, Washington. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

1901 S Union Ave Bldg B Ste 2011
Tacoma, WA 98405
Phone: (253) 272-0324
Fax: (253) 272-0490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Technologist (primary) Taxonomy 246QM0706X

Record details

NPI number1205315983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018