Individual
DR. RAINIER DENNIS DIMAANDAL BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3216 ELUA ST, LIHUE, HI 96766-1213
(808) 246-3800
(808) 246-3801
Mailing address
3216 ELUA ST, LIHUE, HI 96766-1213
(323) 229-9640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 18262
HI
Other
Enumeration date
06/25/2012
Last updated
11/04/2016
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