Search › California › 103TC0700X
Kimberly Bausback
NPI 1538881982 · on the registry since 2022 · sole proprietor
Practice
- Address
- 116 E 25th Ave Ste C
San Mateo, CA 94403 - Phone
- (650) 336-0443
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-07
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 California