Ann Marie Balthazor, RD CD | |
1933 Hornblend St, Apt 21, San Diego, CA 92109-4582 | |
(920) 539-0348 | |
Not Available |
Full Name | Ann Marie Balthazor |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1933 Hornblend St, San Diego, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679763478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 957102 (California) | Primary |
133V00000X | Dietitian, Registered | 10146262 (Oregon) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Ann Marie Balthazor, RD CD 1933 Hornblend St, Apt 21, San Diego, CA 92109-4582 Ph: (920) 539-0348 | Ann Marie Balthazor, RD CD 1933 Hornblend St, Apt 21, San Diego, CA 92109-4582 Ph: (920) 539-0348 |
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