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Individual

MS. CHRISTINE J. LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4493
Mailing address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4493

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003421
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
170176
L&I
WA
05
9652516
WA
Enumeration date
12/07/2006
Last updated
07/09/2007
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