MEDICARE: SILVIA D BALLI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1912590225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA D BALLI

Provider Business Mailing Address
First Line	:	6405 CHAPEL HILL BLVD APT J101
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-3290
Country	:	US
Telephone Number	:	509-823-6757
Fax Number	:

Provider Business Practice Location Address
First Line	:	6405 CHAPEL HILL BLVD APT J101
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-3290
Country	:	US
Telephone Number	:	509-823-6757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2021
Last Update Date	:	02/17/2021

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Directions to “ SILVIA D BALLI ” Practice Location

Language	Start Address	Practice Location

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