Individual
LAURA MAY BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
911 5TH AVE SE STE 102, OLYMPIA, WA 98501-1505
(360) 704-5283
Mailing address
911 5TH AVE SE STE 102, OLYMPIA, WA 98501-1505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019217
WA
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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