MRS. Neda Quilantang Ballard, ADV PRACTITIONER

NPI #1174967400 in Las Vegas, Nevada

Provider Information

NPI Number
1174967400
Entity Type
Individual
Name
MRS. Neda Quilantang Ballard, ADV PRACTITIONER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
ADV PRACTITIONER
Enumeration Date
Apr 17, 2013
Last Updated
Apr 17, 2013

Practice Location

Address
3750 S JONES BLVD
Address 2
SUITE 110
State
Nevada
ZIP Code
89103-2208
Phone
(702) 876-0350

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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