Individual
MRS. LAURA G WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
401 22ND AVENUE CT SW, PUYALLUP, WA 98371-7328
(253) 318-0136
Mailing address
401 22ND AVENUE CT SW, PUYALLUP, WA 98371-7328
(253) 318-0136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00141437
WA
Other
Enumeration date
12/15/2009
Last updated
09/23/2021
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