SAMANTHA BALTAZAR PA
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1578176475- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 197 E CAROLINE ST STE 1400, SAN BERNARDINO, CA, 924083731
- Phone
- (099) 558-3636
- Fax
- (909) 558-3754
Specialties & Taxonomies
Physician Assistant
Physician Assistant, Medical
License: NV #PA3107
Physician Assistant, Medical
Primary License: CA #PA58722