Individual provider · Type 1 NPI

Alicia Rose Ballas, CNIM

Other Specialist/Technologist · Covington, LA

NPI number 1306174404 Active

Practice location

76 Starbrush Cir
Covington, LA 70433-7208

Call (985) 871-6800 Map

Fax (985) 871-0569

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

27 other providers at this address

About NPI 1306174404

Alicia Rose Ballas, CNIM's National Provider Identifier is 1306174404, issued on Dec 1, 2009. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Covington, LA. The record was last updated on Dec 1, 2009.