Individual
PROSSY NAGERI BALOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 FAWCETT AVE STE 100, TACOMA, WA 98402-5502
(253) 230-4351
Mailing address
721 FAWCETT AVE STE 100, TACOMA, WA 98402-5502
(253) 230-4351
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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