Individual
DANIELLE BALLESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 642-3752
Mailing address
2477 STEAMBOAT SPRINGS CT, CHULA VISTA, CA 91915-2248
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86070857
CA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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