Nandi Seboulisa is a Specialist in Tacoma, Washington. Nandi Seboulisa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Nandi Seboulisa is 1316139470. The last update date is 2009-03-19.
Nandi Seboulisa's current location address is 1101 N 12th St, Tacoma, Washington. You can contact this provider via phone number 2534684210 and fax number 2536273433. The mailing address for Nandi Seboulisa is 1101 N 12th St, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nandi Seboulisa |
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Address | 1101 N 12th St, Tacoma, Washington |
Phone Number | 2534684210 |
Fax Number | 2536273433 |
Sole Proprietor | Y |
Credentials | LMP |
NPI Number Detail
NPI Number | 1316139470 |
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Provider Enumeration Date | 2007-08-13 |
Last Updated Date | 2009-03-19 |
Provider Mailing Address Detail
Address | 1101 N 12th St |
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City | Tacoma |
State | Washington (WA) |
Post Code | 984031801 |
Phone Number | 2534684210 |
Fax Number | 2536273433 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MA00015108 |
Definition: 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. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Nandi Seboulisa by the Centers for Medicare & Medicaid Services?
The Nandi Seboulisa has been issued the NPI (National Provider Identifier) 1316139470, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nandi Seboulisa?
The Nandi Seboulisa is physically situated at 1101 N 12Th St, in the city of Tacoma, state of WA, with the postal code 984031801.
What is Nandi Seboulisa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nandi Seboulisa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Nandi Seboulisa receive the assignment of its 1316139470 from the Centers for Medicare & Medicaid Services?
The Nandi Seboulisa was issued its 1316139470 by the Centers for Medicare & Medicaid Services on 2007-08-13.
When was the information regarding Nandi Seboulisa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nandi Seboulisa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-03-19.
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