| Michelle Bajema, Arnp, Llc | |
|
4405 7th Ave Se Ste 100 Lacey WA 98503-1055 | |
| (360) 207-5607 | |
| (253) 442-6160 |
| Full Name | Michelle Bajema, Arnp, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4405 7th Ave Se Ste 100, Lacey, Washington |
| Authorized Official Name and Position | Michelle Bajema (OWNER) |
| Authorized Official Contact | 3604648911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Bajema, Arnp, Llc Po Box 3130 Lacey WA 98509-3130 Ph: (360) 207-5607 | Michelle Bajema, Arnp, Llc 4405 7th Ave Se Ste 100 Lacey WA 98503-1055 Ph: (360) 207-5607 |
| NPI Number | 1124858360 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 08/02/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124858360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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