AGNES BAUTISTA BANIAS

NORFOLK, VA
NPI1205188307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NC  8471)
Enumeration Date2012-10-12
Last Update Date2012-10-12
Business Address
-- AGNES BAUTISTA BANIAS RDH
1647 ADMIRAL TAUSSIG BLVD BR HEALTH CLINIC NAVAL MEDICAL CENTER PORTSMOUTH
NORFOLK, VA 23511
Phone number: 757-953-7011
Mailing Address
-- AGNES BAUTISTA BANIAS RDH
1647 ADMIRAL TAUSSIG BLVD BR HEALTH CLINIC NAVAL MEDICAL CENTER PORTSMOUTH
NORFOLK, VA 23511
Phone number: 757-953-7011