Individual
DR. NINA GABRIELLE BALLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4411 THE 25 WAY NE STE 325, ALBUQUERQUE, NM 87109-5853
(505) 888-5757
Mailing address
1720 S MICHIGAN AVE APT 917, CHICAGO, IL 60616-4892
(806) 928-5260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011441
IL
Other
Enumeration date
06/15/2020
Last updated
06/30/2020
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