Individual
ALESIA NICOLE SURRENCY-BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4588 TEMESCAL CT, ANTIOCH, CA 94531-9414
(408) 229-3146
Mailing address
4588 TEMESCAL CT, ANTIOCH, CA 94531-9414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95030007
CA
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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