Individual
MS. ETHEL J BALLENGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 631-3474
(936) 631-3475
Mailing address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 631-3474
(936) 631-3475
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06750
TX
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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