Individual
DEMESHA BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 WISCONSIN AVE NW STE 300, WASHINGTON, DC 20016-4606
(202) 536-4414
Mailing address
6567 HIL MAR DR, DISTRICT HEIGHTS, MD 20747-4134
(202) 849-0895
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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