GREGORY BAUTISTA

LONG BEACH, CA
NPI1801553847
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95205276)
Enumeration Date2021-11-24
Last Update Date2021-11-24
Business Address
GREGORY BAUTISTA
6060 N PARAMOUNT BLVD
LONG BEACH, CA 90805-3711
Phone number: 562-634-9534
Mailing Address
GREGORY BAUTISTA
6060 N PARAMOUNT BLVD
LONG BEACH, CA 90805-3711
Phone number: 562-634-9534
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