Individual
GERALDINE L BALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3190 CHICAGO AVE, RIVERSIDE, CA 92507-3448
(951) 341-6440
(951) 341-6404
Mailing address
PO BOX 1405, RIVERSIDE, CA 92502-1405
(951) 341-6440
(951) 341-6404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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