NPI 1295447340

Erika Iveth Baltazar

Practitioner Driver Rialto, CA

Practice location

Address: 1344 N Pampas Ave, Rialto, CA 92376-3647
Phone: (909) 440-7720

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence B8815292 (CA)

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Registry record

NPI: 1295447340
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2022
Record last updated: 17 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.