Individual
DONDON BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
18 EL ARCO IRIS DR, ROSWELL, NM 88201-7711
(575) 420-3051
Mailing address
18 EL ARCO IRIS DR, ROSWELL, NM 88201-7711
(575) 420-3051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2721
NM
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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