Individual
JESSICA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
177 S EASY ST, MISSOULA, MT 59802-5485
(309) 333-5166
Mailing address
177 S EASY ST, MISSOULA, MT 59802-5485
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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