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Monica Ballou, LPN

Licensed Practical Nurse in Suffern, NY. Individual provider (NPI-1).

NPI number1275855116
StatusActive
Last updated in NPPESFeb 19, 2010

Details

NPI
1275855116
Entity type
Individual (NPI-1)
Name
Monica Ballou
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 19, 2010
Last updated
Feb 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse266721NYYes

Practice location

99 Washington Ave
Suffern, NY 10901-6026

Phone 845-357-4500 · Fax 845-357-5039

Mailing address

63 Frank Ct
Monroe, NY 10950-3955

Phone 845-783-3943

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