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Individual
LARRISE WILLIFORD
Active
Individual
LARRISE WILLIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
405298
OH
163W00000X
Registered Nurse
45298
OH
163WG0600X
Gerontology Registered Nurse
405298
OH
163WH0200X
Home Health Registered Nurse
405298
OH
163WM0102X
Maternal Newborn Registered Nurse
405298
OH
163WP0200X
Pediatric Registered Nurse
405298
OH
163WP1700X
Perinatal Registered Nurse
405298
OH
Other
Enumeration date
10/20/2015
Last updated
11/08/2021
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