Amanda Ballard, PA-C
NPI #1164983375 in Pomona, California
Provider Information
- NPI Number
- 1164983375
- Entity Type
- Individual
- Name
- Amanda Ballard, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 29, 2019
- Last Updated
- Jun 4, 2020
Practice Location
- Address
- 160 E ARTESIA ST STE 255
- City
- Pomona
- State
- California
- ZIP Code
- 91767-2921
- Phone
- (909) 596-4346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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