Individual
DR. ANGELA TIANA BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2711 W 63RD ST, SUITE 4, DAVENPORT, IA 52803
(563) 359-1455
(563) 359-1498
Mailing address
2711 W 63RD ST, SUITE 4, DAVENPORT, IA 52803
(563) 359-1455
(563) 359-1498
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006980
IA
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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