Individual
HEATHER BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6707 WHITESTONE RD STE 106, WOODLAWN, MD 21207-4140
(301) 265-8737
Mailing address
7718 BRIDLE PATH CIR, FREDERICK, MD 21701-3371
(301) 898-3108
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R157601
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R157601
MBON
MD
Enumeration date
11/20/2014
Last updated
11/20/2014
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