Individual
CRYSTAL S BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
303411:LPN
Contact information
Practice address
6943 W FLORIST AVE, MILWAUKEE, WI 53218-1842
(414) 243-2583
Mailing address
6943 W FLORIST AVE, MILWAUKEE, WI 53218-1842
(414) 243-2583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303411-31
WI
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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