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Individual
ANGELA MARIA BALLESTAS
Active
Individual
ANGELA MARIA BALLESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
17-532
FL
363LF0000X
Family Nurse Practitioner
APRN-11023886
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11023886
FL
Other
Enumeration date
09/20/2017
Last updated
01/30/2025
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