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Individual

JESSE ELIZABETH BALIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
612 HOLLY CT, BETHANY BEACH, DE 19930-9638
(980) 422-3772
Mailing address
612 HOLLY CT, BETHANY BEACH, DE 19930-9638
(980) 422-3772

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0047085
DE

Other

Enumeration date
08/04/2015
Last updated
08/04/2015
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