Individual
CHRISTINE E LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDEM
Contact information
Practice address
85 M ST, SALT LAKE CITY, UT 84103-3850
(801) 867-5943
(801) 210-7954
Mailing address
85 M ST, SALT LAKE CITY, UT 84103-3850
(801) 867-5943
(801) 210-7954
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
11049874-3400
UT
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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