Individual
MARY L BALLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26716 N HIGH DESERT DR, PEORIA, AZ 85383-3673
(623) 376-5010
(623) 376-5080
Mailing address
26716 N HIGH DESERT DR, PEORIA, AZ 85383-3673
(623) 376-5010
(623) 376-5080
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN066758
AZ
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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