Individual
CARMEN BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 E CESAR E CHAVEZ AVE # 1209, LOS ANGELES, CA 90022-1209
(323) 881-3799
Mailing address
4701 E CESAR E CHAVEZ AVE # 1209, LOS ANGELES, CA 90022-1209
(323) 881-3799
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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