Individual
LAURA NICOLE TARANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6802 W RIO GRANDE AVE STE 1, KENNEWICK, WA 99336-7684
(509) 572-2201
(509) 783-8844
Mailing address
6802 W RIO GRANDE AVE STE 1, KENNEWICK, WA 99336-7684
(509) 572-2201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61575806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA61575806
LICENCE
WA
Enumeration date
07/15/2024
Last updated
10/16/2024
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