Search › California › 171100000X
Myra Bautista, LAC
NPI 1053902262 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2801 Cherry St Apt 2
Berkeley, CA 94705 - Phone
- (510) 833-3589
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California