Individual
JENNIFER BALLESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3807 W 187TH ST, TORRANCE, CA 90504-5601
(310) 989-9834
Mailing address
3807 W 187TH ST, TORRANCE, CA 90504-5601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT29732
CA
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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