Individual
CORINTHIA BALLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5910 RYE CREEK DR, KATY, TX 77449-0020
(832) 298-5064
Mailing address
5910 RYE CREEK DR, KATY, TX 77449-0020
(832) 298-5064
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
152914
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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