Individual
JESSICA BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13001 E 17TH PL RM E7019, AURORA, CO 80045-2570
(303) 724-7963
Mailing address
9842 E FLORIDA PL, AURORA, CO 80247-7343
(970) 376-8613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006339
CO
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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