Ms. EDITA C BALTASAR -- MPH, RD, LD
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1710034699- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MPH, RD, LD
- Status
- Active
Contact & Location
- Address
- 729 HAMLET CIR, YUKON, OK, 730994401
- Phone
- (405) 826-2023
- Fax
- (405) 354-1073
Specialties & Taxonomies
Dietitian, Registered
Primary License: OK #LD 222