Individual
MARK HISHAM BALTAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42985 INDIAN TRL, RANCHO MIRAGE, CA 92270-4104
(951) 288-8687
Mailing address
42985 INDIAN TRL, RANCHO MIRAGE, CA 92270-4104
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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