Individual
JULIANA BALLESTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-8121
Mailing address
10401 SPOTSYLVANIA AVE STE 200, FREDERICKSBURG, VA 22408-8606
(540) 361-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101234288
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007248971
—
VA
Enumeration date
08/20/2006
Last updated
02/14/2024
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