PABLO DE OLIVEIRA BAUTISTA NPI 1811419369

NPI Information

Pablo De Oliveira Bautista is a student in an organized health care education training program in South Jordan, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Pablo De Oliveira Bautista NPI is 1811419369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10894 S RIVER FRONT PKWY
SOUTH JORDAN, UT
ZIP 84095-609
Phone: (801) 302-2600

The enumeration date for this NPI number is 7/15/2017 and was last updated on 7/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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