MIRIAM SARA BALLEJOS

TACOMA, WA
NPI1336484864
Former NameMIRIAM SARA EDLEFSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI60224467)
Enumeration Date2012-12-10
Last Update Date2020-05-19
Business Address
MIRIAM SARA BALLEJOS PhD, RD
9040A JACKSON AVE
TACOMA, WA 98431
Phone number: 253-968-0547
Mailing Address
MIRIAM SARA BALLEJOS PhD, RD
9040A JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0547
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