Individual
MARY C BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
935 N BRIDGE ST, ELKIN, NC 28621-2403
(336) 391-9058
Mailing address
2053 CHOPLIN RD, YADKINVILLE, NC 27055-7104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
79517
NC
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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