Individual
MAYA BALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-3923
Mailing address
501 J ST, SACRAMENTO, CA 95814-2325
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
77435
CA
Other
Enumeration date
07/16/2018
Last updated
11/29/2021
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