ILIANA BALTAZAR

COVINA, CA
NPI1528655610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95014627)
Enumeration Date2020-12-23
Last Update Date2020-12-23
Business Address
ILIANA BALTAZAR Nurse Practitioner
158 W COLLEGE ST
COVINA, CA 91723-2064
Phone number: 626-859-2522
Mailing Address
ILIANA BALTAZAR Nurse Practitioner
158 W COLLEGE ST
COVINA, CA 91723-2064
Phone number:
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