NPI 1023588498
Marysol Bautista
Practice location
- Address
- 2291 W March Ln STE C101, Stockton, CA 95207-6669
- Phone
- (209) 735-0525
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1023588498
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Nov 2018
- Record last updated
- 28 Nov 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.