Individual
ANITA L BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
120 BEACON ST, SUITE 202, SOMERVILLE, MA 02143-4370
(617) 499-8382
Mailing address
120 BEACON ST, SUITE 202, SOMERVILLE, MA 02143-4370
(617) 499-8382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19851
MA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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