JOHN KENNETH BALTAZAR

SAN BERNARDINO, CA
NPI1508555954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  106S00000X)
Enumeration Date2023-05-02
Last Update Date2023-05-02
Business Address
JOHN KENNETH BALTAZAR
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408-3545
Phone number: 909-677-4000
Mailing Address
JOHN KENNETH BALTAZAR
560 E HOSPITALITY LN STE 400
SAN BERNARDINO, CA 92408-3545
Phone number: 909-677-4000
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