Individual
TRINA MONIQUE BALLENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
ARRT, ARDMS, NTQR
Contact information
Practice address
1515 W CAMERON AVE STE 200, WEST COVINA, CA 91790-2734
(626) 756-7679
Mailing address
62 COUNTRY MILE RD, POMONA, CA 91766-6626
(626) 756-7679
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
1034306
CA
2471S1302X
Sonography Radiologic Technologist
Primary
268943
CA
2471S1302X
Sonography Radiologic Technologist
P26015
CA
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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