Rosa Ballard, LPN

NPI #1174845671 in Fairbanks, Alaska

Provider Information

NPI Number
1174845671
Entity Type
Individual
Name
Rosa Ballard, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Feb 24, 2010
Last Updated
Feb 24, 2010

Practice Location

Address
3830 S CUSHMAN ST
State
Alaska
ZIP Code
99701-7530
Phone
(907) 452-1575

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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