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Dominique Ballard

NPI 1750008868 · on the registry since 2022 · sole proprietor

Practice

Address
2148 Upton Ave
Toledo, OH 43607
Phone
(567) 377-3932

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-01

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 Ohio