Individual
DEBORAH BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5500 CAMPANILE DR, SAN DIEGO STATE UNIVERSITY, SAN DIEGO, CA 92182-0001
(619) 594-6681
(619) 594-5613
Mailing address
5500 CAMPANILE DR, SAN DIEGO STATE UNIVERSITY, SAN DIEGO, CA 92182-0001
(619) 594-6681
(619) 594-5613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
V270009
CA
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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