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NPI Code Detail

MEDICARE: IVETH BALANTA FULL-SPECTRUM DOULA

MEDICARE: IVETH BALANTA FULL-SPECTRUM DOULA
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
1374J00000XDoulaNV

General Provider Information

NPI Number : 1023863156
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVETH BALANTA FULL-SPECTRUM DOULA
Provider Business Mailing Address
First Line : 2620 REGATTA DR STE 102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-6892
Country : US
Telephone Number : 702-550-2408
Fax Number :
Provider Business Practice Location Address
First Line : 2620 REGATTA DR STE 102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-6892
Country : US
Telephone Number : 702-550-2408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 07/01/2026

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Directions to “ IVETH BALANTA FULL-SPECTRUM DOULA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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