Bautista, Amanda
Bautista, Amanda is an individual health care provider with primary practice located at 1710 S Amphlett Blvd Ste 314 , San Mateo CA 94402-2736. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bautista, Amanda can be contacted via phone (650) 242-0179.Contact Information
Primary practice address
1710 S Amphlett Blvd Ste 314
San Mateo CA 94402-2736
Phone: (650) 242-0179
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1841655040 |
|---|---|
| LBN Legal business name | Bautista, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2015 |
| Last updated | Dec 15th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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