Individual
SALLY ELIZABETH BALKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(814) 460-8298
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(814) 460-8298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN1055671
DC
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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