JUAN JOSE BALTAZAR

LOS ANGELES, CA
NPI1134878150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1367801019)
Enumeration Date2022-03-18
Last Update Date2024-10-03
Business Address
JUAN JOSE BALTAZAR
305 S CENTRAL AVE
LOS ANGELES, CA 90013-1709
Phone number: 213-372-5233
Mailing Address
JUAN JOSE BALTAZAR
3510 BLANCHARD ST
LOS ANGELES, CA 90063-3804
Phone number: 213-572-8407
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