Individual
JANICE A LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(717) 531-5995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MX002570-GLEASON
PA
Other
Enumeration date
05/09/2006
Last updated
09/22/2010
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