Individual
CHRISTIAN FERNANDEZ BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6045 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5565
(702) 948-5095
Mailing address
3918 IRONGATE CT, LAS VEGAS, NV 89120-1405
(562) 479-3691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
875322
NV
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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