Individual
MRS. LAURA BROOKE CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27055 PACIFIC HWY S, DES MOINES, WA 98198-9250
(253) 839-1693
(253) 839-2876
Mailing address
27055 PACIFIC HWY S, DES MOINES, WA 98198-9250
(253) 839-1693
(253) 839-2876
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA000067937
WA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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