Individual
LAURA VONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18728 36TH DR SE, BOTHELL, WA 98012-6720
(206) 913-3288
Mailing address
18728 36TH DR SE, BOTHELL, WA 98012-6720
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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