Individual
MR. THOMAS JOHN BALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC LICENSED ACUPUNC
Contact information
Practice address
575 MAIN STREET, SUITE 149, LAUREL, MD 20723
(301) 604-7779
Mailing address
575 MAIN STREET, SUITE 149, LAUREL, MD 20723
(301) 604-7779
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00571
MD
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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