Search › Delaware › 163W00000X
Jesse Balis
NPI 1154707966 · on the registry since 2015 · sole proprietor
Practice
- Address
- 612 Holly Ct
Bethany Beach, DE 19930 - Phone
- (980) 422-3772
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- DE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware