Individual
AMELIA ROSE BALLESTEROS-EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-3736
(919) 684-8111
Mailing address
117 BANKS ST, JACKSONVILLE, NC 28540-6019
(386) 873-8965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
01/12/2024
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