Individual
MRS. ELIZABETH BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 LUNA AVE SE, LOS LUNAS, NM 87031-6814
(626) 419-4827
Mailing address
119 LUNA AVE SE, LOS LUNAS, NM 87031-6814
(626) 419-4827
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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