Individual
ANGELA BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
212 WOODRIDGE DR, VALLEJO, CA 94591-4148
(707) 704-7553
Mailing address
212 WOODRIDGE DR, VALLEJO, CA 94591-4148
(707) 704-7553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
849348
CA
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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