Individual
CRISTA BALLARD
Active
Individual
CRISTA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
PA
251V00000X
Voluntary or Charitable Agency
—
—
376J00000X
Homemaker
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/07/2018
Last updated
06/11/2019
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