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Mr. Pedro D Bautista
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1689916561

Pedro D Bautista is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Pedro D Bautista practices in Modesto, CA. The NPI Number for Pedro D Bautista is 1689916561 and holds a License No. (California).

The current practice location address for Pedro D Bautista is 2000 W Briggsmore Ave, Modesto, CA and can be reached out via phone at 209-526-1440 and via fax at 209-550-4903.

Location: 2000 W Briggsmore Ave, Modesto, CA, 95350-3839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689916561
Provider Name
Pedro D Bautista
Credential
Provider Entity Type
Individual
Gender
Male
Address
2000 W Briggsmore Ave, Modesto, CA, 95350-3839
Phone Number
209-526-1440
Fax Number
209-550-4903
Provider Enumeration Date
03/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2000 W Briggsmore Ave
City
Modesto
State
California
Zip
95350-3839
Phone Number
209-526-1440
Fax Number
209-550-4903
person
Provider Business Mailing Address Details
Address
2000 W Briggsmore Ave
City
Modesto
State
California
Zip
95350-3839
Phone Number
209-526-1440
Fax Number
209-550-4903
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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