NPI 1407997182
Holly Maris Ballard, CPT
Practice location
- Address
- 211 N Eddy St, South Bend, IN 46617-2808
- Phone
- (574) 237-9295
- Fax
- (574) 239-1554
- Mailing address
- 1845 Churchill Dr, South Bend, IN 46617-2249
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1407997182
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Feb 2007
- Record last updated
- 8 Jul 2007
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.