Individual
ANNA BALAZY-WALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2436 TARLETON TWINS TER, CHARLOTTE, NC 28270-4426
(347) 602-1716
Mailing address
2436 TARLETON TWINS TER, CHARLOTTE, NC 28270-4426
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
RBT-21-162345
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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