ALEX LEE BALLOU

BIS STONE GAP, VA
NPI1275671554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: VA  0002059856)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
-- ALEX LEE BALLOU LPN
3169 SECOND AVE E
BIS STONE GAP, VA 24219
Phone number: 276-523-8300
Mailing Address
-- ALEX LEE BALLOU LPN
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600