Individual
REBECCA BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 BIBB ST, LOUISA, VA 23093-6579
(540) 676-4300
Mailing address
302 BIBB ST, LOUISA, VA 23093-6579
(540) 676-4300
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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