JESUS ANTONIO BAUTISTA

MOUNT VERNON, WA
NPI1811490774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-03-16
Last Update Date2018-03-16
Business Address
JESUS ANTONIO BAUTISTA
1601 E COLLEGE WAY
MOUNT VERNON, WA 98273-5612
Phone number: 360-848-8437
Mailing Address
JESUS ANTONIO BAUTISTA
1601 E COLLEGE WAY
MOUNT VERNON, WA 98273-5612
Phone number: 360-848-8437