Individual
TABITHA BALDERAS DE KATUNZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 S HILLSIDE ST, WICHITA, KS 67211-2128
(316) 682-6551
(316) 682-8151
Mailing address
201 S HILLSIDE ST, WICHITA, KS 67211-2128
(316) 682-6551
(316) 682-8151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76850
KS
Other
Enumeration date
09/02/2015
Last updated
03/30/2021
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