Individual
DR. JOSEFINA BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15785 MEDICAL ARTS DR, HAMMOND, LA 70403-1447
(985) 543-4080
(985) 543-4090
Mailing address
15785 MEDICAL ARTS DR, HAMMOND, LA 70403-1447
(985) 543-4080
(985) 543-4090
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
07814R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1389382
—
LA
Enumeration date
01/22/2007
Last updated
07/08/2007
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