Individual
ANGELA L LADENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4707 S 19TH ST STE 130, TACOMA, WA 98405-1151
(253) 752-7705
(253) 752-0113
Mailing address
4700 POINT FOSDICK DR NW STE 219, GIG HARBOR, WA 98335-1706
(253) 851-7733
(253) 851-8060
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
AP30007974
WA
363L00000X
Nurse Practitioner
Primary
AP30007974
WA
Other
Enumeration date
12/05/2007
Last updated
04/29/2020
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