Individual
MELANIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
70 PATTON HWY, ST. DAVID, AZ 85630
(520) 720-4781
Mailing address
231 N SIBYL RD, SAINT DAVID, AZ 85630-6172
(520) 720-4781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN098635
AZ
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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