SearchIdaho104100000X

Liliane Ballout

NPI 1144051509 · on the registry since 2024 · sole proprietor

Practice

Address
204 10th Ave S
Nampa, ID 83651
Phone
(208) 466-2229
Fax
(208) 466-2667
Clinicians at this address
31

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho