Individual
JIMMY BALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5380 AQUA ST, COLUMBUS, OH 43229-3916
(614) 584-9802
Mailing address
5380 AQUA ST, COLUMBUS, OH 43229-3916
(614) 584-9802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/27/2025
Last updated
12/27/2025
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