SearchDelaware225100000X

Freemann Bautista

NPI 1184078511 · on the registry since 2016 · sole proprietor

Practice

Address
1100 Braken Ave
Wilmington, DE 19808
Phone
(302) 757-9956
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-04-21

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 Delaware