Individual
MS. JOAN LOUISE BALLENSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 S MAIN ST, ATHENS, PA 18810-1614
(570) 731-6919
Mailing address
200 S MAIN ST, ATHENS, PA 18810-1614
(570) 731-6919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5833793
PA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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