| Organization Name: | BALTASAR ENTERPRISES INC. |
| NPI Number: | 1578628855 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDITA BALTASAR (PRESIDENT) |
| Mailing Address: | 729 Hamlet Cir Yukon |
| State: | OK US |
| Postal Code: | 730994401 |
| Phone Number: | 4058262023 |
| Fax Number: | 4056541073 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD 222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |