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Individual
TAMARA LYNNE BAUTISTA AQUI
Active
Individual
TAMARA LYNNE BAUTISTA AQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19800
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/31/2020
Last updated
02/09/2024
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