Individual
JESSICA KATHLEEN BALTHAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
655 W LOMBARD ST, BALTIMORE, MD 21201-1512
(410) 706-0501
Mailing address
3900 FAIRFAX DR UNIT 1300, ARLINGTON, VA 22203-1687
(631) 617-7371
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001316237
VA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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