Individual
LAURA CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 563-2662
Mailing address
294 SUNNYDALE DR, MILLERS CREEK, NC 28651-8918
(336) 416-9754
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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