LUIS OSCAR BAUTISTA

FONTANA, CA
NPI1548965957
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-04
Last Update Date2023-05-25
Business Address
LUIS OSCAR BAUTISTA MD
15309 ATHOL ST
FONTANA, CA 92335-4351
Phone number: 909-910-8855
Mailing Address
LUIS OSCAR BAUTISTA MD
14350 MERIDIAN PKWY STE 2
RIVERSIDE, CA 92518-3035
Phone number: 909-910-8855
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