MICAH S BAUTISTA

MODESTO, CA
NPI1164175063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  86289720)
Enumeration Date2022-01-31
Last Update Date2023-02-07
Business Address
MICAH S BAUTISTA RDN
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-550-4747
Mailing Address
MICAH S BAUTISTA RDN
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
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