BRIAN GLENN BAUTISTA

FONTANA, CA
NPI1609924562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A85008)
Enumeration Date2007-01-08
Last Update Date2021-11-29
Business Address
BRIAN GLENN BAUTISTA MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Mailing Address
BRIAN GLENN BAUTISTA MD
1301 CALIFORNIA ST
REDLANDS, CA 92374-2910
Phone number: 909-427-3910
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