Individual
DR. ANGELINA A BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-4356
Mailing address
PO BOX 29220, PARMA, OH 44129-0220
(440) 743-4356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35045794B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490946
—
OH
Enumeration date
12/15/2005
Last updated
06/03/2014
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