SAMANTHA BALTAZAR

RIVERSIDE, CA
NPI1578176475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-08-28
Last Update Date2021-03-29
Business Address
SAMANTHA BALTAZAR PA
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504-3804
Phone number: 519-788-2224
Mailing Address
SAMANTHA BALTAZAR PA
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504-3804
Phone number: