Individual provider · Type 1 NPI

Tia Maumi Ballard, LMP

Specialist · Renton, WA

NPI number 1699042358 Active

Practice location

200 SW 41st St Ste 100
Renton, WA 98057-4917

Call (425) 251-5715 Map

Fax (425) 251-0703

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA60243032 (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 1699042358

Tia Maumi Ballard, LMP's National Provider Identifier is 1699042358, issued on Nov 23, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Renton, WA. The record was last updated on Nov 23, 2011.