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Alfonso Ballard

NPI 1467159889 · on the registry since 2023

Practice

Address
18717 Corby Ave
Artesia, CA 90701
Phone
(805) 401-4853

Additional practice sites

  • 18717 Corby Ave, Artesia, CA

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-15

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 California