Search › California › 363LP2300X
Divina Gracia Bautista, N.P
NPI 1952810772 · on the registry since 2017
Practice
- Address
- 1239 Aden Road
Pasadena, CA 91125 - Phone
- (626) 395-6393
- Fax
- (626) 585-1522
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 363LF0000X
363LS0200X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-10-02
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 California