Bautista Hurtado, Teresa

Bautista Hurtado, Teresa is an sole proprietor health care provider with primary practice located at 505 Penobscot Dr , Redwood City CA 94063-4737. She recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as her primary health care specialty. Bautista Hurtado, Teresa can be contacted via phone (855) 698-8887.

Contact Information

Primary practice address
505 Penobscot Dr Redwood City CA 94063-4737
Phone: (855) 698-8887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X MTA-02044844 California

Profile Details

NPI number 1598388530
LBN Legal business name Bautista Hurtado, Teresa
Credentials CLS/MLT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2020
Last updated May 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598388530 NPPES
California Other MTA-02044844 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
California Other 25707877 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH

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