Individual
LAURA ANN WIDDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 SW 7TH ST, RENTON, WA 98057-2307
(425) 204-2320
(425) 204-2327
Mailing address
300 SW 7TH ST, RENTON, WA 98057-2307
(425) 204-2320
(425) 204-2327
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00117195
WA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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