Individual
KORTANI LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3754 DOERING RD, JACKSON, MI 49201-9525
(517) 745-5888
Mailing address
3754 DOERING RD, JACKSON, MI 49201-9525
(517) 745-5888
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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