Individual
NATASHA MAE BANAGA BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13400 SHERMAN WAY, NORTH HOLLYWOOD, CA 91605-4415
(818) 983-0103
Mailing address
14914 1/2 BASSETT ST, VAN NUYS, CA 91405-3577
(714) 369-9946
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10798
CA
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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