Individual
GERALD BALUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5307 W LOOP 289, LUBBOCK, TX 79414-1679
(806) 743-2686
Mailing address
4001 DE MORADA DR APT 639, ODESSA, TX 79765-2314
(412) 607-8597
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP146161
TX
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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