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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ANTIONETTE BALLARD, QDDP

Active Sole Proprietor

MS. ANTIONETTE BALLARD, QDDP is a Contractor healthcare provider located in NORFOLK, Virginia. NPI 1629083373 is currently active in the NPPES registry. Verify at CMS.

Contractor · NORFOLK, VA

Registration Details

NPI Number
1629083373
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2006 (20.018451863855 yrs)
Last Updated
Jul 9, 2007
Sole Proprietor
Yes

Practice Information

Address
1216 E LITTLE CREEK RD
SUITE 303
NORFOLK, VA, 235183900
Browse VA providers · Browse ZIP 23518
Phone
7572895946
Fax
7574800528
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in NORFOLK, VA

Name Credential NPI
MARY DEY STONE CSA 1811314610
TRAVIS HARPER 1215328463
ROSCOE CALLAWAY CONTRACTOR 1821636788
EVERETT OUTLAND JR. 1427625813
CIARA BENTLEY 1710692637
MICHAEL M WITHIAM 1568160075
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.