Individual
CANDACE LAKEYBRA DAWN BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S ADAMS ST APT 23, CARTHAGE, TX 75633-2962
(903) 261-1668
Mailing address
901 S ADAMS ST APT 23, CARTHAGE, TX 75633-2962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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