Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CH60329524 | WA |
NPI | 1104163690 |
---|---|
Provider Name | Dr. Josephine N Ball |
First Address | Gig Harbor, WA 98335-1712 |
Second Address | Gig Harbor, WA 98335-1712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2013 |
Last Update Date | 15/03/2018 |