Individual
WILLIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5901 RHODES AVE, VALLEY VILLAGE, CA 91607-1131
(310) 869-0906
Mailing address
5901 RHODES AVE, VALLEY VILLAGE, CA 91607-1131
(310) 869-0906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95229614
CA
367A00000X
Advanced Practice Midwife
Primary
236523
CA
Other
Enumeration date
01/12/2022
Last updated
03/11/2025
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