Cody Baltazar

NPI #1285298646 in Yerington, Nevada

Provider Information

NPI Number: 1285298646
Entity Type: Individual
Name: Cody Baltazar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 30, 2019
Last Updated: Apr 30, 2019

Practice Location

Address: 720 S MAIN ST STE C
City: Yerington
State: Nevada
ZIP Code: 89447-2474
Phone: (775) 463-6597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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