HOLLY MARIS BALLARD

SOUTH BEND, IN
NPI1407997182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183700000X Pharmacy Technician
(Licence: IN  67002571A)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
MRS. HOLLY MARIS BALLARD CPT
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-237-9295
Mailing Address
MRS. HOLLY MARIS BALLARD CPT
1845 CHURCHILL DR
SOUTH BEND, IN 46617-2249
Phone number: 574-287-0054