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Individual

ANN MARIE BALTHAZOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D. C.D.

Contact information

Practice address
1933 HORNBLEND ST, APT 21, SAN DIEGO, CA 92109-4582
(920) 539-0348
Mailing address
1933 HORNBLEND ST, APT 21, SAN DIEGO, CA 92109-4582
(920) 539-0348

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10146262
OR
133V00000X
Registered Dietitian
Primary
957102
CA

Other

Enumeration date
07/27/2007
Last updated
08/16/2012
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