Individual
LIZA MARIE LARRANAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
(843) 792-8972
Mailing address
9318 TIBET POINTE CIR, WINDERMERE, FL 34786-5633
(407) 506-2642
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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