Individual
SHAMANI BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
210 W ATLANTIC AVE, HADDON HEIGHTS, NJ 08035-1715
(856) 547-0539
(856) 796-9183
Mailing address
120 WHITE HORSE PIKE, SUITE 112, HADDON HEIGHTS, NJ 08035-1938
(856) 547-0539
(856) 796-9183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
00000000
NJ
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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