Individual
AISA BALLARD-DOSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1671 THE ALAMEDA STE 306, SAN JOSE, CA 95126-2222
(408) 510-0292
Mailing address
4382 MILLARD AVE, FREMONT, CA 94538-2831
(951) 488-8952
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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