Individual
JENNIFER BALBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
24 BROOKHILL DR, NEWARK, DE 19702-1301
(302) 454-3020
Mailing address
24 BROOKHILL DR, NEWARK, DE 19702-1301
(302) 454-3020
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0011600
DE
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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