Individual
MR. RENE PHILIPPE BAQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
223 S MURRAY AVE, AZUSA, CA 91702-4610
(626) 969-4509
Mailing address
PO BOX 841, CA, AZUSA, CA 91702-0841
(626) 334-9818
(775) 249-7634
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA11523
CA
Other
Enumeration date
09/29/2006
Last updated
02/13/2012
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