Individual
RICHIE BALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
855 21ST ST NE APT 1, WASHINGTON, DC 20002-4140
(202) 500-3001
Mailing address
3624 PEAR TREE CT APT 32, SILVER SPRING, MD 20906-5516
(240) 893-0234
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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