Individual
MARIA JANELLE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 KAPIOLANI BLVD STE 1802, HONOLULU, HI 96814-4408
(808) 525-6255
(808) 525-6256
Mailing address
2019 KAMEHAMEHA IV RD, HONOLULU, HI 96819-2634
(808) 675-8599
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
03/28/2025
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