Individual
MR. JOHN ANDREW ST. LAURENT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.P
Contact information
Practice address
12950 SE KENT KANGLEY RD, KENT, WA 98030-7940
(253) 630-9395
(253) 639-2219
Mailing address
12950 SE KENT KANGLEY RD, KENT, WA 98030-7940
(253) 630-9395
(253) 639-2219
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60065251
WA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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