Leaf Aquilla Ballast Jr.
Leaf Aquilla Ballast Jr. is a Military Health Care Provider in Mandeville, Louisiana. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
810 Rapatel StMandeville, LA 70448-5528
Phone: (850) 736-3840
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X |
|---|
Record details
| NPI number | 1043146269 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 23, 2026 |
| Last updated in NPPES | June 23, 2026 |
| Certification date | June 24, 2026 |