VANESSA IVETTE BALOUS

ORANGE CITY, FL
NPI1194572396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11036305)
Enumeration Date2024-05-04
Last Update Date2024-11-13
Business Address
VANESSA IVETTE BALOUS PMHNP
2401 E GRAVES AVE STE 19
ORANGE CITY, FL 32763-8582
Phone number: 386-561-3873
Mailing Address
VANESSA IVETTE BALOUS PMHNP
1618 AMBOY DR
DELTONA, FL 32738-5202
Phone number: 386-561-3873
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