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Individual
LARISSA ROSE JARVIS
Active
Individual
LARISSA ROSE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
438
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNM06410
AMERICAN MIDWIFERY CERTIFICATION BOARD
—
Enumeration date
06/10/2020
Last updated
10/02/2023
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