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Contact Information

MIRIAM S BALLEJOS, PHD, RD
9040A JACKSON AVE
TACOMA, WA98431
 Phone: 253-968-0547
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MIRIAM S BALLEJOS · (Female)

NPI # 1336484864
Status Active
Credentials PHD, RD
Entity Individual
Enumeration date 12/10/2012
Last updated 05/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # DI60224467
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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