Individual
LARISSA MARIE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
779 DAVIS ST, HANFORD, CA 93230-5609
(559) 904-0148
Mailing address
779 DAVIS ST, HANFORD, CA 93230-5609
(559) 904-0148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
752079
CA
164X00000X
Licensed Vocational Nurse
752079
CA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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