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MRS. MARCELINA BAUTISTA

Adult Care Home >> Custodial Care Facility >> Nursing & Custodial Care Facilities

Registrant NPI Number: 1861791725

Individual Registrant:
MRS. MARCELINA  BAUTISTA 
Gender: F
Sole Proprietor

Location and contact information for practice:
188 SAN FELIPE AVE  SAN BRUNO, CA 94066-5501 US
Tel: 650-952-4398  Fax: 650-583-6120

Contact information for business:
188 SAN FELIPE AVE  SAN BRUNO, CA 94066-5501 US
Tel: 650-952-4398  Fax: 650-583-6120

Registration Information:
NPI: 1861791725
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
CA415600504

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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