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Mr. Ricky Desi Bautista, DC
Chiropractor in Kaneohe, Hawaii
NPI 1962696658

Ricky Desi Bautista is a Chiropractor based in Kaneohe, HI. Ricky Desi Bautista practices in Kaneohe, HI and has the professional credentials of DC. The NPI Number for Ricky Desi Bautista is 1962696658 and holds a License No. DC420 (Hawaii).

The current practice location address for Ricky Desi Bautista is 45-270 William Henry Rd, Kaneohe, HI and can be reached out via phone at 808-235-6677 and via fax at 808-236-0844.

Location: 45-270 William Henry Rd, Kaneohe, HI, 96744-5808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962696658
Provider Name
Ricky Desi Bautista
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
45-270 William Henry Rd, Kaneohe, HI, 96744-5808
Phone Number
808-235-6677
Fax Number
808-236-0844
Provider Enumeration Date
09/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F0098993 01 HI HMSA
institution
Provider Business Practice Location Address Details
Address
45-270 William Henry Rd
City
Kaneohe
State
Hawaii
Zip
96744-5808
Phone Number
808-235-6677
Fax Number
808-236-0844
person
Provider Business Mailing Address Details
Address
45-270 William Henry Rd
City
Kaneohe
State
Hawaii
Zip
96744-5808
Phone Number
808-235-6677
Fax Number
808-236-0844
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC420 (Hawaii)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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