Individual provider · Type 1 NPI

Ibtissam Ahmed Balaa

Technician/Technologist · Dearborn, MI

NPI number 1073248704 Active

Practice location

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044

Call (313) 406-5056 Map

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1073248704

Ibtissam Ahmed Balaa's National Provider Identifier is 1073248704, issued on Jul 18, 2022. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Dearborn, MI. The record was last updated on Jul 26, 2022.