Individual
CASEY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN CNSC
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2602
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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