Individual
LARISSA JURSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCD
Contact information
Practice address
5134 S WILLOW ST, SEATTLE, WA 98118-3460
(630) 209-8184
Mailing address
5134 S WILLOW ST, SEATTLE, WA 98118-3460
(630) 209-8184
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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