SANDRA BALLARD

NORTH LOGAN, UT
NPI1720701741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174N00000X Lactation Consultant, Non-RN
(Licence: UT  L-17810)
Enumeration Date2022-09-23
Last Update Date2022-09-23
Business Address
SANDRA BALLARD IBCLC
2245 NORTH 400 EAST SUITE 202
NORTH LOGAN, UT 84341
Phone number: 435-554-1208
Mailing Address
SANDRA BALLARD IBCLC
2245 N 400 E STE 204
NORTH LOGAN, UT 84341-1785
Phone number: 435-554-1208