MS. Corena Elane Ballantine, LMP

NPI #1851683932 in Belfair, Washington

Provider Information

NPI Number
1851683932
Entity Type
Individual
Name
MS. Corena Elane Ballantine, LMP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMP
Enumeration Date
May 9, 2011
Last Updated
May 9, 2011

Practice Location

Address
121 NE DRAGONFLY LN
ZIP Code
98528-8423
Phone
(360) 552-2078

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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