Individual
LAURA TAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
CORNER OF ROUTE N12 AND N 7, FORT DEFIANCE, AZ 86504-0589
(928) 729-8000
Mailing address
PO BOX 589, FORT DEFIANCE, AZ 86504-0589
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
25028
CA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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