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Individual
LARISSA L. GARTH
Active
Individual
LARISSA L. GARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
63771
CA
363A00000X
Physician Assistant
MA066148
PA
363A00000X
Physician Assistant
PA-61580095
WA
363A00000X
Physician Assistant
Primary
PA10409
TX
Other
Enumeration date
07/25/2013
Last updated
11/07/2025
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