DANNICA L BALLARD

BOISE, ID
NPI1447946108
Former NameDANNICA L THORNTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRO-2242)
Enumeration Date2023-04-14
Last Update Date2023-04-14
Business Address
DANNICA L BALLARD DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
Mailing Address
DANNICA L BALLARD DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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