MS. Ethel J Ballenger, DIETITIAN

NPI #1699722058 in Lufkin, Texas

Provider Information

NPI Number
1699722058
Entity Type
Individual
Name
MS. Ethel J Ballenger, DIETITIAN
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dietitian, Registered
Credential
DIETITIAN
Enumeration Date
May 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1201 W FRANK AVE
City
Lufkin
State
Texas
ZIP Code
75904-3357
Phone
(936) 631-3474

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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