Individual
DAMON LAMARR BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 WORKMAN ST, BAKERSFIELD, CA 93307-6800
(559) 558-4051
Mailing address
3433 W SHAW AVE, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95191426
CA
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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