Search › California › 311ZA0620X
Marcelina Bautista
NPI 1861791725 · on the registry since 2011 · sole proprietor
Practice
- Address
- 188 San Felipe Ave
San Bruno, CA 94066 - Phone
- (650) 952-4398
- Fax
- (650) 583-6120
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-17
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