Organization
CHRIST THE ULTIMATE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BALOGUN ARNP (DIRECTOR)
(407) 820-4775
Entity
Organization
Contact information
Practice address
4192 POLARIS AVE, LOMPOC, CA 93436-1250
(864) 551-5536
Mailing address
4192 POLARIS AVE, LOMPOC, CA 93436-1250
(864) 551-5536
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
01/23/2025
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