JAKE BALLARD

MAMMOTH LAKES, CA
NPI1053027854
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-01-25
Last Update Date2023-01-25
Business Address
JAKE BALLARD
1290 TAVERN RD
MAMMOTH LAKES, CA 93546-6601
Phone number: 760-709-0812
Mailing Address
JAKE BALLARD
1290 TAVERN RD
MAMMOTH LAKES, CA 93546-6601
Phone number: 760-709-0812
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