Individual
MS. MARTHA MOEONONO LAUMOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5937
(253) 566-2252
Mailing address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5937
(253) 566-2252
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
CG60215106
WA
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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