MS. Alicia Rose Ballas, CNIM

Individual provider Other Specialist/Technologist · NPI 1306174404

MS. Alicia Rose Ballas, CNIM is an Other Specialist/Technologist in Covington, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since: 2009

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Practice location Address checks out

76 Starbrush Cir
Covington, LA 70433-7208
Phone: (985) 871-6800
Fax: (985) 871-0569

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary)	Taxonomy 246Z00000X

Record details

NPI number	1306174404
Entity type	Individual (Type 1)
Gender	Female
Credentials	CNIM
Sole proprietor	Yes
NPI enumerated	December 1, 2009
Last updated in NPPES	December 1, 2009