Individual provider · Type 1 NPI

Nandi Seboulisa, LMP

Specialist · Tacoma, WA

NPI number 1316139470 Active

Practice location

1101 N 12th St, #3
Tacoma, WA 98403-1801

Call (253) 468-4210 Map

Fax (253) 627-3433

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00015108 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316139470

Nandi Seboulisa, LMP's National Provider Identifier is 1316139470, issued on Aug 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tacoma, WA. The record was last updated on Mar 19, 2009.