| Anjillia Dibaum | |
|
5340 Ballard Ave Nw Seattle WA 98107-4060 | |
| (206) 972-2999 | |
| Not Available |
| Full Name | Anjillia Dibaum |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 5340 Ballard Ave Nw, Seattle, Washington |
| Authorized Official Name and Position | Angela Mae Baumgardner (OWNER) |
| Authorized Official Contact | 2069722999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anjillia Dibaum 5340 Ballard Ave Nw Seattle WA 98107-4060 Ph: (206) 972-2999 | Anjillia Dibaum 5340 Ballard Ave Nw Seattle WA 98107-4060 Ph: (206) 972-2999 |
| NPI Number | 1538585781 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 03/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538585781 | NPI | - | NPPES |
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