SHANNON DEIDRE BALL
Individual Provider (NPI-1)
Active
Peer Specialist
Provider Information
- NPI Number
1639982705- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 200 BEATTY ST, MEDFORD, OR, 975015811
- Phone
- (541) 476-2373
Specialties & Taxonomies
Peer Specialist
Primary
All Addresses
MAILING
1215 SW G ST
GRANTS PASS, OR, 975262544