Individual
ZALDY L BALANQUIT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 RANCHEROS DR, SUITE 220, SAN MARCOS, CA 92069-2965
(760) 744-0020
Mailing address
330 RANCHEROS DR, SUITE 220, SAN MARCOS, CA 92069-2965
(760) 744-0020
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
CA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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