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Erick Larios Bautista
Student in an Organized Health Care Education/Training Program in Nutley, New Jersey
NPI 1235710039

Erick Larios Bautista is a Student in an Organized Health Care Education/Training Program based in Nutley, NJ. Erick Larios Bautista practices in Nutley, NJ. The NPI Number for Erick Larios Bautista is 1235710039 and holds a License No. (New Jersey).

The current practice location address for Erick Larios Bautista is 340 Kingsland St, Nutley, NJ and can be reached out via phone at 973-542-6678.

Location: 340 Kingsland St, Nutley, NJ, 07110-1150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235710039
Provider Name
Erick Larios Bautista
Credential
Provider Entity Type
Individual
Gender
Male
Address
340 Kingsland St, Nutley, NJ, 07110-1150
Phone Number
973-542-6678
Fax Number
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 Kingsland St
City
Nutley
State
New Jersey
Zip
07110-1150
Phone Number
973-542-6678
Fax Number
person
Provider Business Mailing Address Details
Address
340 Kingsland St
City
Nutley
State
New Jersey
Zip
07110-1150
Phone Number
973-542-6678
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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