CEATTLE BALCORTA

LEMOORE, CA
NPI1275279689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: FL  OS20418)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-05-09
Last Update Date2024-06-07
Business Address
CEATTLE BALCORTA DO
NAS LEMOORE, K ST
LEMOORE, CA 93245
Phone number: 559-988-4000
Mailing Address
CEATTLE BALCORTA DO
K ST
LEMOORE, CA 93245
Phone number: 559-988-4000