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JANICE THERESE SATAJO BAUTISTA DPM

Individual Provider (NPI-1) Active

Podiatrist

Provider Information

NPI Number
1275217507
Provider Type
Individual Provider (NPI-1)
Credentials
DPM
Status
Active

Contact & Location

Address
825 CHALKSTONE AVE, PROVIDENCE, RI, 029084728
Phone
(401) 456-2000

Specialties & Taxonomies

Podiatrist Primary License: RI #LPR00257
Podiatrist, Foot & Ankle Surgery License: NC #863
Unknown License: NC #863
Podiatrist, Primary Podiatric Medicine License: NC #863

All Addresses

MAILING

1036 BRANCHVIEW DR STE 216

CONCORD, NC, 280250113

(704) 886-1918

LOCATION

825 CHALKSTONE AVE

PROVIDENCE, RI, 029084728

(401) 456-2000