National Provider Identifier Database

LAREKA BALTHAZAR, RN – NPI #1265130926
Case Management


Contact Information

LAREKA BALTHAZAR, RN
14485 SENECA RD APT 111
VICTORVILLE, CA92392-9350
Phone: 909-495-6071
Fax:
Website:
Specialty Taxonomy Code
* Case Management 163WC0400X

* Indicates primary specialty

NPI Profile & details for LAREKA BALTHAZAR

NPI Number 1265130926
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/21/2023
Last updated 02/21/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 646717
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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