Nandi Seboulisa LMP

NPI 1316139470 - Specialist - 174400000X

NPI Details
NPI 1316139470
Gender Female
Enumeration Date 08/13/2007
Last Updated 03/19/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1101 N 12TH ST
#3
TACOMA WA, 98403-1801, US
Phone (253) 468-4210
Fax (253) 627-3433
Business Location
1101 N 12TH ST
#3
TACOMA WA, 98403-1801, US
Phone (253) 468-4210
Fax (253) 627-3433
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MA00015108
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According to our database, Nandi Seboulisa LMP NPI is 1316139470, taxonomy code is 174400000X and license number is MA00015108, license state is located at Washington. Nandi Seboulisa LMP physically located at 1101 N 12th St, Tacoma WA, 98403-1801. NPI Number Nandi Seboulisa LMP has the Individual type.

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1316139470 NPI number is provided on an as is basis without warranty of any kind. 1316139470 is maintained by the National Plan & Provider Enumeration System. The contents of Nandi Seboulisa LMP are for informational purposes only.