Individual
LAURA RENEE HARBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
5800 SOUNDVIEW DR STE A102, GIG HARBOR, WA 98335-2057
(208) 403-9694
Mailing address
8623 187TH AVENUE CT NW, VAUGHN, WA 98394-9723
(253) 432-9606
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
60867088
WA
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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