GLENDA K BALTHAZOR

SIOUX FALLS, SD
NPI1336112366
Former NameGLENDA WRIGHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SD  0307)
Enumeration Date2006-02-09
Last Update Date2007-10-30
Business Address
-- GLENDA K BALTHAZOR CRNA
1305 W 18TH ST
SIOUX FALLS, SD 57105-0401
Phone number: 605-333-1000
Mailing Address
-- GLENDA K BALTHAZOR CRNA
PO BOX 5053
SIOUX FALLS, SD 57117-5053
Phone number: 605-328-6548