Individual
JOANNA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
421 S 19TH ST, LARAMIE, WY 82070-4307
(307) 256-6633
(303) 997-1818
Mailing address
421 S 19TH ST, LARAMIE, WY 82070
(307) 256-6633
(303) 997-1818
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
008
WY
Other
Enumeration date
03/05/2012
Last updated
03/22/2017
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