Bautista, Marlo

Bautista, Marlo is an sole proprietor health care provider with primary practice located at 3205 N Lakewood Blvd , Long Beach CA 90808-1733. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bautista, Marlo can be contacted via phone (562) 570-7119.

Contact Information

Primary practice address
3205 N Lakewood Blvd Long Beach CA 90808-1733
Phone: (562) 570-7119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 594890 California

Profile Details

NPI number 1528303914
LBN Legal business name Bautista, Marlo
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2012
Last updated Dec 11th, 2012 - about 14 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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