Individual
MRS. ROXANNA BALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 325-9110
(310) 517-4760
Mailing address
23814 VINE AVE., TORRANCE, CA 90501
(310) 325-9110
(310) 517-4760
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
364398
CA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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