NPI 1164160453

Beverly Loida Bautista, RN

Practitioner Attendant Care Provider San Jose, CA

Practice location

Address: 3819 7 Trees Blvd APT 306, San Jose, CA 95111-3369
Phone: (408) 963-7594

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1164160453
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2022
Record last updated: 25 May 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.