LISA BALLANTYNE

SANTA ROSA, CA
NPI1730646746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  612777)
Enumeration Date2019-02-26
Last Update Date2019-02-26
Business Address
LISA BALLANTYNE
2245 CHALLENGER WAY
SANTA ROSA, CA 95407-5418
Phone number: 707-565-4970
Mailing Address
LISA BALLANTYNE
2245 CHALLENGER WAY
SANTA ROSA, CA 95407-5418
Phone number:
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