Individual
DYAN GRACE BALASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3521
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001149191
VA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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