Individual
CARRIE MARIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9126 ELK GROVE BLVD, ELK GROVE, CA 95624-2013
(916) 333-0383
(916) 244-9898
Mailing address
9126 ELK GROVE BLVD, ELK GROVE, CA 95624-2013
(916) 333-0383
(916) 244-9898
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
344700040
CA
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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