MARY-JO L BAUTISTA

Dr MARY-JO L BAUTISTA is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2013.

Contact

4281 KATELLA AVE
SUITE 122
LOS ALAMITOS
CA
907203560

Tel: 7142290094

MARY-JO L BAUTISTA Information

Npi 1003166380
Pac Id 6507140357
Professional Enrollment Id I20170223000722
Last Name BAUTISTA
First Name MARY-JO
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 4281 KATELLA AVE
Line 2 Street Address SUITE 122
Marker Of Address Line 2 Suppression
City LOS ALAMITOS
State CA
Zip Code 907203560
Phone Number 7142290094
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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