Individual
ANGELA M BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9701 APOLLO DR STE 220, UPPER MARLBORO, MD 20774-4783
(410) 713-2194
Mailing address
11294 SAN DOMINGO RD, MARDELA SPRINGS, MD 21837-2207
(410) 726-5329
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06216
MD
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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