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Individual

TAMI J. BALTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
1750 ABBOTT ROAD, ANCHORAGE, AK 99507
(907) 677-6789
(907) 561-3315
Mailing address
1750 ABBOTT ROAD, ANCHORAGE, AK 99507
(907) 677-6789
(907) 561-3315

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CM6971
AK
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CM6971
AK
Enumeration date
10/02/2013
Last updated
07/02/2021
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