Most Relevant Information
Provider Data
| NPI Number: | 1003328089 |
| Provider Name: | TIERSA LAFAYE BAIRD |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/30/2017 |
| Last Updated: | 10/30/2017 |
Provider Practice Location
BLDG 9119 MIL PARK AVE
TACOMA
WA
98433
Practice Location Phone/Fax
| Phone: | 2539669960 |
| Fax: |
Provider Mailing Location
BLDG 9119 MIL PARK AVE
TACOMA
WA
98433
Provider Mailing Phone/Fax
| Phone: | 2539669960 |
| Fax: |