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Individual

MS. JUDI LAURA BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 241-0990
Mailing address
3919 N 29TH ST, TACOMA, WA 98407-5307
(808) 494-4217

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00040279
WA

Other

Enumeration date
01/28/2020
Last updated
01/28/2020
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