MARY STEPHANIE GANGCUANGCO BAUTISTA

MURRIETA, CA
NPI1437506581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95005578)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  676857)
Enumeration Date2016-05-18
Last Update Date2017-05-25
Business Address
Mrs. MARY STEPHANIE GANGCUANGCO BAUTISTA FNP
28062 BAXTER RD
MURRIETA, CA 92563-1401
Phone number: 956-534-6114
Mailing Address
Mrs. MARY STEPHANIE GANGCUANGCO BAUTISTA FNP
3853 W STETSON AVE
HEMET, CA 92545-9674
Phone number: 951-929-6900