Individual
SANDRA JOY BRICE BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1740 ATHENA DR, AVON, NY 14414-9580
(585) 233-2638
Mailing address
1740 ATHENA DR, AVON, NY 14414-9580
(585) 233-2638
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
631060
NY
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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