Individual
CATHERINE L BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(309) 662-0088
(309) 662-0089
Mailing address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(309) 662-0088
(309) 662-0089
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041179715
IL
Other
Enumeration date
01/10/2006
Last updated
07/30/2008
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