Individual
DEVON BALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6259 COLLEGE DR, SUFFOLK, VA 23435-2610
(757) 483-9833
Mailing address
3709 CARDINAL LN, PORTSMOUTH, VA 23703-3617
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0202211934
VA
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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