Dr Manuel Baustista,inc,p.s. | |
9115 Bridgeport Way Sw Suite #1 Lakewood WA 98499-2449 | |
(253) 581-6303 | |
(253) 581-3316 |
Full Name | Dr Manuel Baustista,inc,p.s. |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 9115 Bridgeport Way Sw, Lakewood, Washington |
Authorized Official Name and Position | Manuel Bautista (PRESIDENT) |
Authorized Official Contact | 2535816303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Manuel Baustista,inc,p.s. Po Box 39398 Lakewood WA 98496-3398 Ph: (253) 581-6303 | Dr Manuel Baustista,inc,p.s. 9115 Bridgeport Way Sw Suite #1 Lakewood WA 98499-2449 Ph: (253) 581-6303 |
NPI Number | 1184883324 |
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Provider Enumeration Date | 06/03/2008 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
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1184883324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |