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Carrie Marie Ballard

Technician, Attendant Care Provider in Elk Grove, CA. Individual provider (NPI-1).

NPI number1164065645
StatusActive
Last updated in NPPESOct 28, 2019

Details

NPI
1164065645
Entity type
Individual (NPI-1)
Name
Carrie Marie Ballard
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2019
Last updated
Oct 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider344700040CAYes

Practice location

9126 Elk Grove Blvd
Elk Grove, CA 95624-2013

Phone 916-333-0383 · Fax 916-244-9898

Mailing address

9126 Elk Grove Blvd
Elk Grove, CA 95624-2013

Phone 916-333-0383 · Fax 916-244-9898

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