Individual
PATTI ALYSSA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
195 W 7200 S, MIDVALE, UT 84047-3703
(801) 565-6900
Mailing address
195 W 7200 S, MIDVALE, UT 84047-3703
(801) 565-6900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
31090913102
UT
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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