Audra Ballard
Audra Ballard is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3270 Kerner Blvd Ste CSan Rafael, CA 94901-4840
Phone: (415) 457-4554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1891533238 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2024 |
| Last updated in NPPES | July 18, 2024 |
| Certification date | July 18, 2024 |
| Mailing address | 1917 Kinross Way, San Jose, CA 95122-2943 |
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