AUDREY BALLARD

PROVIDENCE, RI
NPI1164120051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP06157)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-02-20
Last Update Date2024-05-15
Business Address
AUDREY BALLARD MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2930
Mailing Address
AUDREY BALLARD MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2930