Individual
MR. LUIS BALTAZAR BAPTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(978) 606-7063
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(978) 606-7063
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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