Individual
MRS. JENNIFER ANNE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
21559 SANTA ANA RD, LOS GATOS, CA 95033-8934
(650) 438-4159
Mailing address
21559 SANTA ANA RD, LOS GATOS, CA 95033-8934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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