Individual
LAUREL LANDROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 W FIREOPAL WAY, TUCSON, AZ 85742-9432
(520) 579-0992
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
350757
AZ
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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