Individual
MS. ELLIE BALOALOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5092 SOUTHERN HILLS LN, LAS VEGAS, NV 89113-1330
(702) 368-4825
Mailing address
6128 W SAHARA AVE, LAS VEGAS, NV 89146-3051
(702) 598-2048
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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