SASHA BALLEZA CPNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1750706263- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP
- Status
- Active
Contact & Location
- Address
- 3605 VISTA WAY STE 130, OCEANSIDE, CA, 920564565
- Phone
- (760) 547-1010
- Fax
- (760) 547-1011
Specialties & Taxonomies
Registered Nurse
License: MA #RN2284708
Registered Nurse
License: CA #845876
Nurse Practitioner, Pediatrics
Primary License: CA #95001230