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Randolph Bautista, PTA
NPI 1255057303 · on the registry since 2022
Practice
- Address
- 2108 Lark Bay Ln
Lakewood, CA 90712 - Phone
- (818) 326-3299
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-19
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