SAMANTHA BALTAZAR

SAN BERNARDINO, CA
NPI1578176475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  58722)
Additional Taxonomies363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
(Licence: NV  69725)
Enumeration Date2020-08-28
Last Update Date2024-10-16
Business Address
SAMANTHA BALTAZAR PA
197 E CAROLINE ST STE 1400
SAN BERNARDINO, CA 92408-3731
Phone number: 099-558-3636
Mailing Address
SAMANTHA BALTAZAR PA
197 E CAROLINE ST STE 1400
SAN BERNARDINO, CA 92408-3731
Phone number: 909-558-3636