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Stephan Leo Balitao
Psychiatric/Mental Health Registered Nurse in Ventura, California
NPI 1023666310

Stephan Leo Balitao is a Psychiatric/Mental Health Registered Nurse based in Ventura, CA and is specialized in Psychiatric/Mental Health. Stephan Leo Balitao practices in Ventura, CA. The NPI Number for Stephan Leo Balitao is 1023666310 and holds a License No. 95160434 (California).

The current practice location address for Stephan Leo Balitao is 4258 Telegraph Rd, Ventura, CA and can be reached out via phone at 805-477-5700.

Location: 4258 Telegraph Rd, Ventura, CA, 93003-3706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023666310
Provider Name
Stephan Leo Balitao
Credential
Provider Entity Type
Individual
Gender
Male
Address
4258 Telegraph Rd, Ventura, CA, 93003-3706
Phone Number
805-477-5700
Fax Number
Provider Enumeration Date
08/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4258 Telegraph Rd
City
Ventura
State
California
Zip
93003-3706
Phone Number
805-477-5700
Fax Number
person
Provider Business Mailing Address Details
Address
4258 Telegraph Rd
City
Ventura
State
California
Zip
93003-3706
Phone Number
805-477-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
95160434 (California)
Definition
Definition to come...
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