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Wilbur Domenden Bautista
Medical Technologist in Tacoma, Washington
NPI 1205315983

Wilbur Domenden Bautista is a Medical Technologist based in Tacoma, WA and is specialized in Medical Technologist. Wilbur Domenden Bautista practices in Tacoma, WA. The NPI Number for Wilbur Domenden Bautista is 1205315983 and holds a License No. (Washington).

The current practice location address for Wilbur Domenden Bautista is 1901 S Union Ave Bldg B Ste 2011, Tacoma, WA and can be reached out via phone at 253-272-0324 and via fax at 253-272-0490.

Location: 1901 S Union Ave Bldg B Ste 2011, Tacoma, WA, 98404-4659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205315983
Provider Name
Wilbur Domenden Bautista
Credential
Provider Entity Type
Individual
Gender
Male
Address
1901 S Union Ave Bldg B Ste 2011, Tacoma, WA, 98404-4659
Phone Number
253-272-0324
Fax Number
253-272-0490
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1901 S Union Ave Bldg B Ste 2011
City
Tacoma
State
Washington
Zip
98405
Phone Number
253-272-0324
Fax Number
253-272-0490
person
Provider Business Mailing Address Details
Address
1901 S Union Ave Bldg B Ste 2011
City
Tacoma
State
Washington
Zip
98405
Phone Number
253-272-0324
Fax Number
253-272-0490
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
246QM0706X
License No.
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Definition
Definition to come...
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