Individual
DR. ANGELO ANTHONY BALLASIOTES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
6900 STERLING CT, YAKIMA, WA 98908-1847
(509) 965-7360
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
PH00009431
WA
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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