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Individual

XIMENA BALLESTEROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2337 LAKE DEBRA DR APT 534, ORLANDO, FL 32835-6687
(407) 373-5034
Mailing address
2337 LAKE DEBRA DR APT 534, ORLANDO, FL 32835-6687
(407) 373-5034

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary

Other

Enumeration date
12/29/2015
Last updated
12/29/2015
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