Individual
LAURA TANSLEY CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95207552
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95207552
CA
Other
Enumeration date
10/07/2020
Last updated
10/19/2020
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