MS. Bayinna Ballard

NPI #1194389270 in Eagle River, Alaska

Provider Information

NPI Number: 1194389270
Entity Type: Individual
Name: MS. Bayinna Ballard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Apr 24, 2019
Last Updated: Apr 24, 2019

Practice Location

Address: 12812 OLD GLENN HWY STE C3
City: Eagle River
State: Alaska
ZIP Code: 99577-7002
Phone: (907) 696-8020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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