AMANDA FAYE BALLARD

GALLUP, NM
NPI1013593607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
AMANDA FAYE BALLARD
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
AMANDA FAYE BALLARD
1004 8TH ST
LAS VEGAS, NM 87701-4216
Phone number: