Agnes Balza

NPI #1346416286 in Tracy, California

Provider Information

NPI Number: 1346416286
Entity Type: Individual
Name: Agnes Balza
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: 2586 BUTHMANN AVE
City: Tracy
State: California
ZIP Code: 95376-2165
Phone: (209) 832-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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