Individual provider · Type 1 NPI

Stephanie Bautista

Student in an Organized Health Care Education/Training Program · Fullerton, CA

NPI number 1144764077 Active

Practice location

680 Langsdorf Dr, Suite 200
Fullerton, CA 92831-3702

Call (714) 953-4455 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144764077

Stephanie Bautista's National Provider Identifier is 1144764077, issued on Dec 12, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fullerton, CA. The record was last updated on May 10, 2017.