Individual
LEXA MARIE BALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2680 S LINCOLN AVE, JEROME, ID 83338
(208) 324-4700
Mailing address
2680 S LINCOLN AVE, JEROME, ID 83338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7533
ID
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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