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LOURDES S BAUTISTA RN BSN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1225704570
Individual Registrant: LOURDES S BAUTISTA RN BSN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
21054 SHERMAN WAY STE 320 CANOGA PARK, CA 91303-4517 US
Tel: 747-226-1230 Fax: 747-226-1230
Tel: 747-226-1230 Fax: 747-226-1230
Contact information for business:
21054 SHERMAN WAY STE 320 CANOGA PARK, CA 91303-4517 US
Tel: 747-226-1230 Fax: 747-226-1230
Tel: 747-226-1230 Fax: 747-226-1230
Registration Information:
NPI: 1225704570
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | CA | 635480 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
