Individual
MRS. JOAN BALAHADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4276 54TH PL STE C, SAN DIEGO, CA 92115-6011
(619) 501-5511
(951) 325-5868
Mailing address
13934 MENNONITE PT, SAN DIEGO, CA 92129-3134
(858) 603-3100
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
740273
CA
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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