Individual
REBECCA THERESA BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
5300 HWY 49 N, MARIPOSA, CA 95338
(209) 535-6276
Mailing address
5300 HWY 49 N, MARIPOSA, CA 95338
(209) 535-6276
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
793103
CA
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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