Organization
P. JOHN BALDRIAS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERCIVAL JOHN BALDRIAS NP (NURSE PRACTITIONER)
(909) 203-3523
Entity
Organization
Contact information
Practice address
11741 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670-3687
(562) 942-8256
Mailing address
11741 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670-3687
(562) 942-8256
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16510
CA
Other
Enumeration date
09/16/2010
Last updated
11/15/2012
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