JORGE MANUEL BALLESTEROS

ORLANDO, FL
NPI1174550925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  R56975)
Enumeration Date2006-06-27
Last Update Date2022-05-26
Business Address
JORGE MANUEL BALLESTEROS CRNA
3714 S SUMMERLIN AVE
ORLANDO, FL 32806-6902
Phone number: 812-240-0977
Mailing Address
JORGE MANUEL BALLESTEROS CRNA
3714 S SUMMERLIN AVE
ORLANDO, FL 32806-6902
Phone number: 812-240-0977
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