MEDICARE: TERESA BALDIZON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker	1486801	DC

General Provider Information

NPI Number	:	1073478459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA BALDIZON

Provider Business Mailing Address
First Line	:	3060 16TH ST NW APT 305
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-4238
Country	:	US
Telephone Number	:	202-441-9418
Fax Number	:

Provider Business Practice Location Address
First Line	:	3060 16TH ST NW APT 305
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-4238
Country	:	US
Telephone Number	:	202-441-9418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ TERESA BALDIZON ” Practice Location

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