Individual
JASHAN BALLAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3311 PACIFIC AVE, LIVERMORE, CA 94550-7007
(925) 462-1755
Mailing address
2801 RABBIT HOLLOW DR, LATHROP, CA 95330-9841
(209) 637-6046
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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