Individual
MR. JAMES ALLEN BALMANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTC
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 524-1211
Mailing address
1684 HAVEN ST, OAKDALE, CA 95361-8661
(209) 848-3721
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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