Individual
MS. RITA W. LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
136 N MAIN ST, THIENSVILLE, WI 53092-1606
(262) 391-1003
Mailing address
1850 HOLLYHOCK LN, ELM GROVE, WI 53122-1329
(262) 391-1003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1267
WI
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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