Individual
DR. DUSTIN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4150 V ST, 2100, SACRAMENTO, CA 95817-1460
(916) 734-8583
Mailing address
4150 V ST, 2100, SACRAMENTO, CA 95817-1460
(916) 734-8583
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
A81937
CA
Other
Enumeration date
12/15/2005
Last updated
12/13/2021
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