ELAINE REYES BAUTISTA

RANCHO MIRAGE, CA
NPI1790953222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA19574)
Enumeration Date2008-02-19
Last Update Date2008-02-19
Business Address
ELAINE REYES BAUTISTA PA
39000 BOB HOPE DR HAL B WALLIS BLDG
RANCHO MIRAGE, CA 92270-3221
Phone number: 760-346-0642
Mailing Address
ELAINE REYES BAUTISTA PA
39000 BOB HOPE DR HAL B WALLIS BLDG
RANCHO MIRAGE, CA 92270-3221
Phone number: 760-346-0642