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1669112991
YESSICA BALTAZAR
SAN BERNARDINO, CA
NPI
1669112991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN713235)
Enumeration Date
2022-04-01
Last Update Date
2024-12-17
Business Address
YESSICA BALTAZAR
303 E VANDERBILT WAY
SAN BERNARDINO, CA 92415-0026
Phone number: 909-387-7200
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Mailing Address
YESSICA BALTAZAR
3626 LOSTWOOD CT
PERRIS, CA 92571-7322
Phone number: 951-442-4962
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