Custodio, Christopher Bautista

Custodio, Christopher Bautista is an sole proprietor health care provider with primary practice located at 3853 Rosecrans St , San Diego CA 92110-3115. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Custodio, Christopher Bautista can be contacted via phone (619) 692-8232.

Contact Information

Primary practice address
3853 Rosecrans St San Diego CA 92110-3115
Phone: (619) 692-8232
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 95165732 California

Profile Details

NPI number 1053067157
LBN Legal business name Custodio, Christopher Bautista
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2022
Last updated Feb 27th, 2022 - about 2 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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