Bautista, Judith

Bautista, Judith is an individual health care provider with primary practice located at 91-1251 Renton Rd , Ewa Beach HI 96706-1936. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Bautista, Judith can be contacted via phone (808) 681-0747.

Contact Information

Primary practice address
91-1251 Renton Rd Ewa Beach HI 96706-1936
Phone: (808) 681-0747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1710538145
LBN Legal business name Bautista, Judith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2019
Last updated Sep 26th, 2019 - about 6 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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