Individual
MRS. VICTORIA KAMAKEA BALLARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
133 BIRADAN ANAKKO, DEDEDO, GU 96929-5739
(671) 645-5500
Mailing address
PO BOX 8904, TAMUNING, GU 96931-8904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RX0410
GU
363LF0000X
Family Nurse Practitioner
Primary
NP0183
GU
Other
Enumeration date
06/22/2018
Last updated
07/26/2023
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