NPI 1083887442

Marnelli Aguilar Bautista-Quach, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Modesto, CA

Practice location

Address: 4301 N Star Way, Modesto, CA 95356-9262
Phone: (209) 577-1200
Fax: (209) 577-6517
Mailing address: 4601 Dale Rd, Modesto, CA 95356-9718

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence A109074 (CA)

Other Pathology providers in California →

Registry record

NPI: 1083887442
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2008
Record last updated: 4 Jan 2022

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.