Individual
MS. ALICIA ROSE BALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 871-6800
(985) 871-0569
Mailing address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 871-6800
(985) 871-0569
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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