Individual
BABYCHARVAE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 477-2199
Mailing address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 477-2199
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
251997
CA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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