JUAN JOSE BALTAZAR

TARZANA, CA
NPI1134878150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-18
Last Update Date2022-03-18
Business Address
JUAN JOSE BALTAZAR
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 888-777-8565
Mailing Address
JUAN JOSE BALTAZAR
3510 BLANCHARD ST
LOS ANGELES, CA 90063-3804
Phone number: 213-572-8407