Individual
LAURA GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN60135160
Contact information
Practice address
38 N SCHMIDT ST BLDG 1228, HUNTER AAF, GA 31409-5300
(912) 435-3600
Mailing address
38 N SCHMIDT ST BLDG 1228, SAVANNAH, GA 31409-5300
(912) 435-3600
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN60135160
WA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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