MS. Antionette Ballard, QDDP

NPI #1629083373 in Norfolk, Virginia

Provider Information

NPI Number
1629083373
Entity Type
Individual
Name
MS. Antionette Ballard, QDDP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Credential
QDDP
Enumeration Date
Jul 30, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
1216 E LITTLE CREEK RD
Address 2
SUITE 303
ZIP Code
23518-3900
Phone
(757) 289-5946

Specialties & Taxonomy Codes

Specialty
Contractor

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