Ballaura Incorporated

NPI 1053564666 - Specialist - 174400000X

NPI Details
NPI 1053564666
Enumeration Date 10/28/2008
Last Updated 04/18/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name NICOLE B NICOLE
Position PRESIDENT
Phone (360) 539-7726
Fax (360) 539-7729
Practice Location
2413 PACIFIC AVE SE
SUITE D
OLYMPIA WA, 98501-2087, US
Phone (360) 539-7726
Fax (360) 539-7729
Business Location
PO BOX 8022
LACEY WA, 98509-8022, US
Phone (360) 539-7726
Fax (360) 539-7729
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MA00022961
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According to our database, Ballaura Incorporated NPI is 1053564666, taxonomy code is 174400000X and license number is MA00022961, license state is located at Washington. Ballaura Incorporated physically located at 2413 Pacific Ave Se, Olympia WA, 98501-2087. NPI Number 1033115704 has the healthcare provider type.

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1053564666 NPI number is provided on an as is basis without warranty of any kind. 1053564666 is maintained by the National Plan & Provider Enumeration System. The contents of Ballaura Incorporated are for informational purposes only.