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MARY ANNE TEZHEART MERCADO BAQUING M.D.

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1245595016

Individual Registrant:
 MARY ANNE TEZHEART MERCADO BAQUING M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
25825 VERMONT AVE  HARBOR CITY, CA 90710-3518 US
Tel: 424-328-2063  Fax: --

Contact information for business:
25825 VERMONT AVE  HARBOR CITY, CA 90710-3518 US
Tel: --  Fax: --

Registration Information:
NPI: 1245595016
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
CAA126927

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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