Individual
MILLER J BALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12631 E 17TH AVE STE F496, AURORA, CO 80045-2527
(720) 553-2696
Mailing address
12631 E 17TH AVE STE F496, AURORA, CO 80045-2527
(720) 553-2696
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0010241
CO
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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