NPI 1306174404

Alicia Rose Ballas, CNIM

Practitioner Other Specialist/Technologist Covington, LA

Practice location

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

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Louisiana →

Registry record

NPI: 1306174404
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2009
Record last updated: 1 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.