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Crystal Bautista
NPI 1235923954 · on the registry since 2025 · sole proprietor
Practice
- Address
- 21002 E Lark Dr
Queen Creek, AZ 85142 - Phone
- (480) 338-3218
Registry record
- Primary taxonomy
- 3104A0630X
3104A0630X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-07
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 Arizona