Individual
DONNA BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W 19TH ST, COSTA MESA, CA 92627-3517
(949) 645-9334
Mailing address
700 W 19TH ST, COSTA MESA, CA 92627-3517
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
254968
CA
Other
Enumeration date
01/27/2007
Last updated
03/17/2018
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