Provider Demographics
NPI:1912590225
Name:BALLI, SILVIA D
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:D
Last Name:BALLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 CHAPEL HILL BLVD APT J101
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-3290
Mailing Address - Country:US
Mailing Address - Phone:509-823-6757
Mailing Address - Fax:
Practice Address - Street 1:6405 CHAPEL HILL BLVD APT J101
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-3290
Practice Address - Country:US
Practice Address - Phone:509-823-6757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management