Individual
ERIC BALABABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
517 E NIZHONI BLVD, GALLUP, NM 87301-5757
(505) 722-1790
Mailing address
517 E NIZHONI BLVD, GALLUP, NM 87301-5757
(505) 722-1790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN75196
NV
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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