Shundarrius Lamon Ballard

NPI #1841994100 in Bastrop, Louisiana

Provider Information

NPI Number: 1841994100
Entity Type: Individual
Name: Shundarrius Lamon Ballard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 29, 2023
Last Updated: Mar 29, 2023

Practice Location

Address: 626 E JEFFERSON AVE
City: Bastrop
State: Louisiana
ZIP Code: 71220-4619
Phone: (318) 239-2325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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