Most Relevant Information
Provider Data
| NPI Number: | 1003679291 |
| Provider Name: | MAREYNAL BERNARDO BAUTISTA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F01240217 |
Most Important Dates
| Enumeration Date: | 02/01/2024 |
| Last Updated: | 02/01/2024 |
Provider Practice Location
18019 CROSSHAVEN DR
ROWLAND HEIGHTS
CA
917482546
Practice Location Phone/Fax
| Phone: | 6266411805 |
| Fax: |
Provider Mailing Location
18019 CROSSHAVEN DR
ROWLAND HEIGHTS
CA
917482546
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |