Jacqueline Bautista's National Provider Identifier (NPI) Details
Jacqueline Bautista, MS
NPI: 1033556469
Enumeration Date: 2013-05-24
Last updated: 2013-05-24
Sole Proprietor: NO
Status: active
Postal Address: 1000 SAN LEANDRO BLVD STE 300, SAN LEANDRO, CA
Phone: 510-293-7048
Primary Practice Address: 1000 SAN LEANDRO BLVD STE 300, SAN LEANDRO, CA
Practice's phone: 510-293-7048