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Vanessa Bautista

NPI 1588485825 · on the registry since 2024 · sole proprietor

Practice

Address
5253 10th Armored Loop
Fort Moore, GA 31905
Phone
(831) 245-8662

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-19

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 Georgia