MIRANDA DIANNE BALLARD

THOUSAND OAKS, CA
NPI1144086109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95029217)
Enumeration Date2024-02-26
Last Update Date2024-02-26
Business Address
MIRANDA DIANNE BALLARD FNP-BC
215 W JANSS RD
THOUSAND OAKS, CA 91360-1847
Phone number: 805-370-4435
Mailing Address
MIRANDA DIANNE BALLARD FNP-BC
2116 VANGUARD DR
CAMARILLO, CA 93010-2132
Phone number: 805-233-0242
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