Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILBUR DOMENDEN BAUTISTA
Active Sole ProprietorMedical Technologist · TACOMA, WA
Registration Details
- NPI Number
- 1205315983
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2018 (7.6920767977972 yrs)
- Last Updated
- Aug 13, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1901 S UNION AVE BLDG B STE 2011TACOMA, WA, 98405Browse WA providers · Browse ZIP 98405
- Phone
- 2532720324
- Fax
- 2532720490
- Primary Specialty
-
Medical Technologist
246QM0706X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.