Individual
CARSON LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
10 PROFESSIONAL CENTER PKWY APT 32, SAN RAFAEL, CA 94903-2758
(415) 596-2581
Mailing address
10 PROFESSIONAL CENTER PKWY APT 32, SAN RAFAEL, CA 94903-2758
(415) 596-2581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86661
CA
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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