Individual
RILEY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
—
—
237700000X
Hearing Instrument Specialist
Primary
063.0134031
VT
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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