Search › Washington › 183500000X
Ponciano Bautista
NPI 1144859638 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4002 49th Ave S
Seattle, WA 98118 - Phone
- (206) 834-5647
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 3336C0002X
3336C0003X
3336C0004X
3336H0001X
3336I0012X
3336L0003X
3336M0002X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington