Individual
MS. IVETTE BALLARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3400 OLD MILTON PKWY STE 330, ALPHARETTA, GA 30005-3707
(770) 667-3090
(678) 867-0929
Mailing address
140 BEECHWOOD TRL, ROSWELL, GA 30075-2309
(404) 272-2224
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
RN183718
GA
Other
Enumeration date
07/09/2020
Last updated
08/03/2020
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