Ligia Patricia Barajas-bustos O.T

NPI 1770635716 - Clinic/Center - 261QR0400X

NPI Details
NPI 1770635716
Gender Female
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3820 COLONIAL BLVD
SUITE 103
FORT MYERS FL, 33912-1094, US
Phone (239) 275-4411
Fax (239) 275-6408
Business Location
2320 S.W 19 PL
CAPE CORAL FL, 33991, US
Phone (239) 738-2918
Fax
Toxanomy
Taxonomy Code 261QR0400X
License State Florida
License Number 8236
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According to our database, Mrs. Ligia Patricia Barajas-bustos O.T NPI is 1770635716, taxonomy code is 261QR0400X and license number is 8236, license state is located at Florida. Ligia Patricia Barajas-bustos O.T physically located at 3820 Colonial Blvd, Fort Myers FL, 33912-1094. NPI Number Ligia Patricia Barajas-bustos O.T has the Individual type.

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1770635716 NPI number is provided on an as is basis without warranty of any kind. 1770635716 is maintained by the National Plan & Provider Enumeration System. The contents of Ligia Patricia Barajas-bustos O.T are for informational purposes only.