Individual
DR. JEANINE PAULETTE SIOSON REYES-BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HOWARD COUNTY GENERAL HOSPITAL, 5755 CEDAR LANE, COLUMBIA, MD 21044
(410) 720-8769
(410) 740-7561
Mailing address
1107 SOUTH CLINTON STREET, BALTIMORE, MD 21224-0005
(443) 858-0047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0087274
MD
Other
Enumeration date
04/01/2016
Last updated
07/24/2019
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