Individual
STEPHEN BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 581-7020
Mailing address
8924 31ST ST W, UNIVERSITY PLACE, WA 98466-1625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
MB1232367
WA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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