Individual
MS. CATRICE J BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
14101 ADKINS RD, LAUREL, MD 20708-1103
(301) 367-6132
Mailing address
14101 ADKINS RD, LAUREL, MD 20708-1103
(301) 367-6132
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000614
MD
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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