Individual
JESSICA BALAZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14434 NE 8TH ST, BELLEVUE, WA 98007-4105
(425) 223-5126
Mailing address
PO BOX 6159, BELLEVUE, WA 98008-0159
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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