Bobby Ballesteros

NPI #1265980858 in Olathe, Kansas

Provider Information

NPI Number
1265980858
Entity Type
Individual
Name
Bobby Ballesteros
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Sep 13, 2016
Last Updated
Sep 13, 2016

Practice Location

Address
14614 S BROUGHAM DR
City
Olathe
State
Kansas
ZIP Code
66062-2595
Phone
(913) 961-2306

Specialties & Taxonomy Codes

Specialty
Specialist

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