Individual
JILLIAN BALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8685 W UNION HILLS DR, PEORIA, AZ 85382-7006
(623) 486-2331
(623) 486-3136
Mailing address
8685 W UNION HILLS DR, PEORIA, AZ 85382-7006
(623) 486-2331
(623) 486-3136
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-22816
AZ
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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