Individual
SETH BALLESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 W ACACIA AVE, HEMET, CA 92545-3743
(909) 522-9252
Mailing address
26301 MARGARITA LN, LOMA LINDA, CA 92354-6737
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
297063
CA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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