Individual
STACEY BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 RIVER HAVEN LN, HOOVER, AL 35244-1274
(205) 734-1524
Mailing address
2625 RIVER HAVEN LN, HOOVER, AL 35244-1274
(205) 734-1524
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AL
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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