Search › Georgia › 103TS0200X
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