Organization
NUTRITION WITH BARISSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARISSA LARSON (OWNER)
(317) 378-6537
Entity
Organization
Contact information
Practice address
13295 ILLINOIS ST STE 130, CARMEL, IN 46032-3026
(317) 755-4234
Mailing address
PO BOX 4041, CARMEL, IN 46082-4041
(317) 378-6537
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
03/10/2023
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