GARRETT CLYDE BALLO

JACKSONVILLE, NC
NPI1386315695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2021-09-26
Last Update Date2021-11-09
Business Address
GARRETT CLYDE BALLO MILITARY PROVIDER
116 MOSS CREEK DR
JACKSONVILLE, NC 28540-3231
Phone number: 805-305-1868
Mailing Address
GARRETT CLYDE BALLO MILITARY PROVIDER
610 LOOP RD
SNEADS FERRY, NC 28460
Phone number: