ROBERTO JAMES NELSON BALDERAS-FOWLER

LOS ANGELES, CA
NPI1346823614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-04
Last Update Date2024-10-09
Business Address
ROBERTO JAMES NELSON BALDERAS-FOWLER
1000 VETERAN AVE RM 25-57
LOS ANGELES, CA 90095-1048
Phone number: 310-825-6110
Mailing Address
ROBERTO JAMES NELSON BALDERAS-FOWLER
1000 VETERAN AVE RM 25-57
LOS ANGELES, CA 90024-2704
Phone number: 866-523-4268