Individual
MRS. JULIE KAY BALLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2425 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1956
(616) 365-6033
(616) 365-6065
Mailing address
2425 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1956
(616) 365-6033
(616) 365-6065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-2-25038
OH
183500000X
Pharmacist
26020696A
IN
183500000X
Pharmacist
Primary
5302030735
MI
Other
Enumeration date
05/02/2007
Last updated
12/10/2007
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