Individual
BARISSA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12192 HOOSIER RD, FISHERS, IN 46037-9419
(317) 378-6537
Mailing address
12192 HOOSIER RD, FISHERS, IN 46037-9419
(317) 378-6537
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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