ROSA BALLARD

FAIRBANKS, AK
NPI1174845671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  6342)
Enumeration Date2010-02-24
Last Update Date2010-02-24
Business Address
-- ROSA BALLARD LPN
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
Mailing Address
-- ROSA BALLARD LPN
2001 COWLES ST APT 6
FAIRBANKS, AK 99701-5938
Phone number: 907-374-7702