Organization
COMMUNITY HEALTH RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINALYN BALTAZAR-SUMBANG (MANAGING MEMBER)
(702) 328-4851
Entity
Organization
Contact information
Practice address
2215 RENAISSANCE DR STE C, LAS VEGAS, NV 89119-6729
(725) 240-2266
Mailing address
6069 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5579
(702) 328-4851
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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