SHANIYA BALLESTERO

Technician/Technologist

Active Individual
NPI: 1861118077

Practice Address

19853 OUTER DR STE 110
Dearborn, MI 48124

Phone: (313) 406-5056

Specialties

Specialty Code Primary License
Psychologist - Clinical Child & Adolescent 103TC2200X No -
Technician/Technologist 156F00000X Yes -

Frequently Asked Questions

NPI 1861118077 is the National Provider Identifier for SHANIYA BALLESTERO, a Technician/Technologist provider located in Dearborn, MI. This NPI was enumerated on October 19, 2022.
SHANIYA BALLESTERO practices at 19853 OUTER DR STE 110, Dearborn, MI 48124.

Quick Facts

NPI
1861118077
Type
Individual
Enumerated
Oct 19, 2022
Last Updated
Oct 19, 2022

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