TANJA LEE BALLANCE
Individual Provider (NPI-1)
Active
Community/Behavioral Health
Provider Information
- NPI Number
1548997562- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1040 MAPLE WAY, ROCK SPRINGS, WY, 829014108
- Phone
- (307) 389-0784
Specialties & Taxonomies
Community/Behavioral Health
Primary