Individual
ALISSA GENEVIEVRE LAROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(786) 908-4472
Mailing address
1373 SW 106TH AVE, PEMBROKE PINES, FL 33025-4780
(786) 908-4472
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
UO4856
FL
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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