GERALD BAUTISTA

COMMERCE, CA
NPI1891958906
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2008-07-08
Last Update Date2008-07-08
Business Address
-- GERALD BAUTISTA
6055 E WASHINGTON BLVD 900
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
Mailing Address
-- GERALD BAUTISTA
686 W 13TH ST APT B
SAN PEDRO, CA 90731-7833
Phone number: 310-514-9651