NPI 1205315983

Wilbur Domenden Bautista

Practitioner Medical Technologist Tacoma, WA

Practice location

Address: 1901 S Union Ave Bldg B STE 2011, Tacoma, WA 98405
Phone: (253) 272-0324
Fax: (253) 272-0490
Mailing address: 4253 E Roosevelt Ave, Tacoma, WA 98404-4659

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X

Other Specialist/Technologist, Pathology providers in Washington →

Registry record

NPI: 1205315983
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2018
Record last updated: 13 Aug 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.