MR. Ricky Desi Bautista, DC

NPI #1962696658 in Kaneohe, Hawaii

Provider Information

NPI Number: 1962696658
Entity Type: Individual
Name: MR. Ricky Desi Bautista, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 5, 2007
Last Updated: Feb 21, 2017

Practice Location

Address: 45-270 WILLIAM HENRY RD
Address 2: STE 205
City: Kaneohe
State: Hawaii
ZIP Code: 96744-5808
Phone: (808) 235-6677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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