Individual
LARISSA HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25912 MOUNTAINEER HWY, LITTLETON, WV 26581-7728
(304) 815-7829
Mailing address
3254 MANNINGTON RD, SMITHFIELD, WV 26437-8715
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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