Individual
MRS. DANETTE BALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W EXPWY 83, MISSION, TX 78572-6196
(956) 583-0075
Mailing address
100 W EXPWY 83, MISSION, TX 78572-6196
(956) 583-0075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43406
TX
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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