MISS Falisha Irene Bazemore, CMA

NPI #1245848589 in Centralia, Washington

Provider Information

NPI Number: 1245848589
Entity Type: Individual
Name: MISS Falisha Irene Bazemore, CMA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CMA
Enumeration Date: Jul 22, 2020
Last Updated: Jul 22, 2020

Practice Location

Address: 2428 W REYNOLDS AVE
City: Centralia
State: Washington
ZIP Code: 98531-4554
Phone: (360) 330-9044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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