Individual provider · Type 1 NPI

Pedro D. Bautista

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

NPI number 1689916561 Active

Practice location

2000 W Briggsmore Ave, I
Modesto, CA 95350-3839

Call (209) 526-1440 Map

Fax (209) 550-4903

Mailing address

2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839

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 1689916561

Pedro D. Bautista's National Provider Identifier is 1689916561, issued on Mar 19, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on May 28, 2015.