Individual
LAURA DESRUISSEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
20812 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8404
(425) 398-0204
Mailing address
20812 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8404
(425) 398-0204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00020759
WA
Other
Enumeration date
01/02/2010
Last updated
01/03/2010
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