person
Iliana Baltazar, NURSEPRACTITIONER
Family Nurse Practitioner in Covina, California
NPI 1528655610

Iliana Baltazar is a Family Nurse Practitioner based in Covina, CA and is specialized in Family. Iliana Baltazar practices in Covina, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Iliana Baltazar is 1528655610 and holds a License No. 95014627 (California).

The current practice location address for Iliana Baltazar is 158 W College St, Covina, CA and can be reached out via phone at 626-859-2522 and via fax at 626-331-0205.

Location: 158 W College St, Covina, CA, 91723-2064
person
Provider Profile Details
NPI Number
1528655610
Provider Name
Iliana Baltazar
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
158 W College St, Covina, CA, 91723-2064
Phone Number
626-859-2522
Fax Number
626-331-0205
Provider Enumeration Date
12/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
158 W College St
City
State
Zip
91723-2064
Phone Number
626-859-2522
Fax Number
626-331-0205
person
Provider Business Mailing Address Details
Address
158 W College St
City
State
Zip
91723-2064
Phone Number
626-859-2522
Fax Number
626-331-0205
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95014627 (California)
Definition
Definition to come...
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