Individual
ANGELA C BALEZTENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4141 S HULEN ST, #1135, FORT WORTH, TX 76109-4970
(720) 236-2936
Mailing address
4141 S HULEN ST, #1135, FORT WORTH, TX 76109-4970
(720) 236-2936
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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