MOZART BAUTISTA

SALT LAKE CITY, UT
NPI1679336275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
MOZART BAUTISTA
780 S GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: 801-581-0194
Mailing Address
MOZART BAUTISTA
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-5427
Phone number: 888-949-4864