PORTIA GERARDO BAUTISTA

VALLEJO, CA
NPI1700937273
Other NamePORTIA G BAUTISTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS7310)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
Mrs. PORTIA GERARDO BAUTISTA L.C.S.W.
333 BESTON WAY
VALLEJO, CA 94591-7205
Phone number: 707-644-1358
Mailing Address
Mrs. PORTIA GERARDO BAUTISTA L.C.S.W.
333 BESTON WAY
VALLEJO, CA 94591-7205
Phone number: 707-644-1358