Individual
LAURA DIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
601 CRAWFORD ST, KELSO, WA 98626-4315
(360) 577-2402
(360) 501-1954
Mailing address
601 CRAWFORD ST, KELSO, WA 98626-4315
(360) 577-2402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00176042
WA
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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