WILBUR DOMENDEN BAUTISTA

TACOMA, WA
NPI1205315983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246QM0706X Spec/Tech, Pathology, Medical Technologist
Enumeration Date2018-08-13
Last Update Date2018-08-13
Business Address
WILBUR DOMENDEN BAUTISTA
1901 S UNION AVE BLDG B STE 2011
TACOMA, WA 98405
Phone number: 253-272-0324
Mailing Address
WILBUR DOMENDEN BAUTISTA
4253 E ROOSEVELT AVE
TACOMA, WA 98404-4659
Phone number: 808-387-7618
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