Ballaura Incorporated

NPI #1053564666 in Olympia, Washington

Provider Information

NPI Number: 1053564666
Entity Type: Organization
Organization Name: Ballaura Incorporated
Primary Specialty: Specialist
Enumeration Date: Oct 28, 2008
Last Updated: Apr 18, 2011

Practice Location

Address: 2413 PACIFIC AVE SE
Address 2: SUITE D
City: Olympia
State: Washington
ZIP Code: 98501-2087
Phone: (360) 539-7726

Authorized Official

Name: MS. NICOLE B BALL, LMP
Title: PRESIDENT
Phone: (360) 539-7726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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