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Contact Information

LAREKA BALTHAZAR, RN
14485 SENECA RD APT 111
VICTORVILLE, CA92392-9350
 Phone: 909-495-6071
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

163WC0400X
Indicates primary specialty

NPI Profile & details for LAREKA BALTHAZAR · (Female)

NPI # 1265130926
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/21/2023
Last updated 02/21/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 646717
Hospital affiliation(s) Not Available
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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