FREDDIE BAUTISTA

ELIZABETH, NJ
NPI1124857826
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ15087100)
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
FREDDIE BAUTISTA
220 W JERSEY ST APT 1B
ELIZABETH, NJ 07202-1314
Phone number: 908-230-8785
Mailing Address
FREDDIE BAUTISTA
220 W JERSEY ST APT 1B
ELIZABETH, NJ 07202-1314
Phone number: 908-230-8785
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