Individual
LAURA GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 9TH AVE S, DES MOINES, WA 98198-6310
(206) 631-3700
Mailing address
22001 9TH AVE S, DES MOINES, WA 98198-6310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60051795
WA
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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