Individual
MS. ELIZABETH M BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
10610 SNYDER RD, LA MESA, CA 91941-5759
(619) 601-2076
Mailing address
PO BOX 2970, SANTA CRUZ, CA 95063-2970
(619) 601-2076
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
74988
CA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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