Kimberly Anne Bautista

NPI 1730339086 - Registered Nurse - 163W00000X

NPI Details
NPI 1730339086
Gender Female
Enumeration Date 09/23/2008
Last Updated 09/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2050 FAIRMONT DR
SAN LEANDRO CA, 94578-1001, US
Phone (510) 483-3030
Fax
Business Location
2275 ARLINGTON DR
SAN LEANDRO CA, 94578-1132, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 735667
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According to our database, Kimberly Anne Bautista NPI is 1730339086, taxonomy code is 163W00000X and license number is 735667, license state is located at California. Kimberly Anne Bautista physically located at 2050 Fairmont Dr, San Leandro CA, 94578-1001. NPI Number Kimberly Anne Bautista has the Individual type.

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1730339086 NPI number is provided on an as is basis without warranty of any kind. 1730339086 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Anne Bautista are for informational purposes only.