Individual
LAURA BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 W 4100 S APT C-706, WEST VALLEY CITY, UT 84120-5411
(786) 384-1808
Mailing address
1111 CRANDON BLVD APT C706, KEY BISCAYNE, FL 33149-2796
(786) 384-1808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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