Individual
MRS. LAURIE L DERANLEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RND
Contact information
Practice address
2165 S VIEW RIDGE DR, WESTPORT, WA 98595-9747
(360) 580-1897
Mailing address
2165 S VIEW RIDGE DR, WESTPORT, WA 98595-9747
(360) 580-1897
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00142815
WA
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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