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Individual

MRS. TAKIYA SAKINA BALLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
68 3RD ST STE 246, BROOKLYN, NY 11231
(347) 289-5451
(347) 289-5451
Mailing address
34 CATHEDRAL AVE APT 3E, HEMPSTEAD, NY 11550-2026
(347) 265-2632
(347) 289-5451

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
25ME00064200
NJ
367A00000X
Advanced Practice Midwife
Primary
F001549-1
NY

Other

Enumeration date
01/06/2006
Last updated
06/29/2018
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