NICOLE TAYE BALTAZAR

GREENSBORO, NC
NPI1336905306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2024-02-26
Last Update Date2024-11-27
Business Address
NICOLE TAYE BALTAZAR
517 FAIRMILE DR
GREENSBORO, NC 27455-9361
Phone number: 336-254-8797
Mailing Address
NICOLE TAYE BALTAZAR
517 FAIRMILE DR
GREENSBORO, NC 27455-9361
Phone number: 336-254-8797