JACOB WAYNE BALLARD

BREMERTON, WA
NPI1285372029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-05-23
Last Update Date2022-05-23
Business Address
JACOB WAYNE BALLARD
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
Mailing Address
JACOB WAYNE BALLARD
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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