SHANIYA NICOLE BALLESTERO

DEARBORN, MI
NPI1861118077
Other NameSHANIYA NICOLE BALLESTERO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156F00000X Technician/Technologist
Additional Taxonomies103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date2022-10-19
Last Update Date2022-10-19
Business Address
-- SHANIYA NICOLE BALLESTERO
19853 OUTER DR STE 110
DEARBORN, MI 48124-2044
Phone number: 313-406-5056
Mailing Address
-- SHANIYA NICOLE BALLESTERO
19853 OUTER DR STE 110
DEARBORN, MI 48124-2044
Phone number: 313-622-4035