Stout-Bautista, Katherine Marjorie

Stout-Bautista, Katherine Marjorie is an individual health care provider with primary practice located at 1033 3Rd St , San Rafael CA 94901-3107. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stout-Bautista, Katherine Marjorie can be contacted via phone (415) 482-6826.

Contact Information

Primary practice address
1033 3Rd St San Rafael CA 94901-3107
Phone: (415) 482-6826
Fax: (415) 482-6726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT-12944-T California

Profile Details

NPI number 1326133976
LBN Legal business name Stout-Bautista, Katherine Marjorie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 11th, 2022 - about 3 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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