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Crystal Ballard
Specialist in Florissant, Missouri
NPI 1477293355

Crystal Ballard is a Specialist based in Saint Louis, MO. Crystal Ballard practices in Florissant, MO. The NPI Number for Crystal Ballard is 1477293355 and holds a License No. (Missouri).

The current practice location address for Crystal Ballard is 1150 Graham Rd Ste 101, Florissant, MO and can be reached out via phone at 314-206-3412.

Location: 1150 Graham Rd Ste 101, Florissant, MO, 63103-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477293355
Provider Name
Crystal Ballard
Credential
Provider Entity Type
Individual
Gender
Female
Address
1150 Graham Rd Ste 101, Florissant, MO, 63103-2303
Phone Number
314-206-3412
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1150 Graham Rd Ste 101
City
Florissant
State
Missouri
Zip
63031-8077
Phone Number
314-206-3412
Fax Number
person
Provider Business Mailing Address Details
Address
1150 Graham Rd Ste 101
City
Florissant
State
Missouri
Zip
63031-8077
Phone Number
314-206-3412
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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