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MRS. MARCELINA BAUTISTA
Adult Care Home >> Custodial Care Facility >> Nursing & Custodial Care FacilitiesRegistrant NPI Number: 1861791725
Individual Registrant:MRS. MARCELINA BAUTISTA
Gender: F
Sole Proprietor
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
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
Tel: 650-952-4398 Fax: 650-583-6120
Registration Information:
NPI: 1861791725
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | CA | 415600504 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
