Individual provider · NPI-1

Grace G Baltazar

Pharmacy Technician · Seattle, WA

NPI number1790760684
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1790760684
Entity type
Individual (NPI-1)
Name
Ms. Grace G Baltazar
Sex
Female
Sole proprietor
No
Enumeration date
Dec 13, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technicianva00040016WAYes

Practice location

1407 Broadway
Seattle, WA 98122-3854

Phone 206-726-3495 · Fax 206-726-3498

Mailing address

1527 14th Ave S
Apt 202
Seattle, WA 98144-7418

Phone 206-251-9184

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