Bautista, Wilbur Domenden

Bautista, Wilbur Domenden is an sole proprietor health care provider with primary practice located at 1901 S Union Ave Bldg B Ste 2011 , Tacoma WA 98405. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as his primary health care specialty. Bautista, Wilbur Domenden can be contacted via phone (253) 272-0324.

Contact Information

Primary practice address
1901 S Union Ave Bldg B Ste 2011 Tacoma WA 98405
Phone: (253) 272-0324
Fax: (253) 272-0490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X

Profile Details

NPI number 1205315983
LBN Legal business name Bautista, Wilbur Domenden
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2018
Last updated Aug 13th, 2018 - 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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