Individual
TONNETTA RENE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 BOWDOIN PL, BRADENTON, FL 34207-5523
Mailing address
2915 BOWDOIN PL, BRADENTON, FL 34207-5523
(941) 243-9529
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA134205
FL
376K00000X
Nurse's Aide
CNA134205
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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