Individual
BRYAN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 PLACERVILLE DR STE 2, PLACERVILLE, CA 95667-4200
(530) 644-2412
(530) 621-9804
Mailing address
4805 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762-9651
(530) 644-2412
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
04/23/2025
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