Individual
TERESA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
831 W COLORADO AVE, TRINIDAD, CO 81082-1319
(720) 391-6605
Mailing address
831 W COLORADO AVE, TRINIDAD, CO 81082-1319
(720) 391-6605
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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