Individual
ALLEN LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 AFFINITY LN, ROCHESTER, NY 14616-1731
(585) 734-9327
Mailing address
507 AFFINITY LN, ROCHESTER, NY 14616-1731
(585) 734-9327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322395
NY
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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