Individual
LAURA ELENA LOAICIGA ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 N ADAIR ST, CORNELIUS, OR 97113-8900
(503) 359-5564
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8371
OR
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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