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Individual

AIMEE BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
18600 MAIN ST, SUITE 110, HUNTINGTON BEACH, CA 92648-1708
(714) 794-2171
Mailing address
18600 MAIN ST, SUITE 110, HUNTINGTON BEACH, CA 92648-1708
(714) 794-2171

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33130
CA
111NP0017X
Pediatric Chiropractor
33130
CA

Other

Enumeration date
12/09/2014
Last updated
05/18/2016
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