Individual
AMIRA M BALLOUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 LORRAINE AVE, COLUMBUS, OH 43235-7365
(614) 824-2211
Mailing address
1608 LORRAINE AVE, COLUMBUS, OH 43235-7365
(614) 824-2211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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