Individual
CAMILLA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
63 DUTTON AVENUE 2, SAN LEANDRO, CA 94577-9457
(151) 033-3881
Mailing address
63 DUTTON AVENUE 2, SAN LEANDRO, CA 94577-2895
(510) 333-3881
(510) 878-7654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75677
CA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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