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Individual
DR. DAISY IBANEZ BAUTISTA
Active
Individual
DR. DAISY IBANEZ BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A36896
CA
208000000X
Pediatrics Physician
A368969
CA
208D00000X
General Practice Physician
A368969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F84330
—
CA
Enumeration date
08/08/2006
Last updated
07/23/2024
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