Dr Manuel Baustista,inc,p.s. | |
9115 Bridgeport Way Sw Suite #1 Lakewood WA 98499-2449 | |
(253) 581-6303 | |
(253) 581-3316 |
Full Name | Dr Manuel Baustista,inc,p.s. |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 9115 Bridgeport Way Sw, Lakewood, Washington |
Authorized Official Name and Position | Manuel Bautista (PRESIDENT) |
Authorized Official Contact | 2535816303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Manuel Baustista,inc,p.s. Po Box 39398 Lakewood WA 98496-3398 Ph: (253) 581-6303 | Dr Manuel Baustista,inc,p.s. 9115 Bridgeport Way Sw Suite #1 Lakewood WA 98499-2449 Ph: (253) 581-6303 |
NPI Number | 1184883324 |
---|---|
Provider Enumeration Date | 06/03/2008 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184883324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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