Individual
LARISSA WENSZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3413 QUIGBY RD, WATERLOO, IA 50701-9132
(319) 830-9591
Mailing address
3413 QUIGBY RD, WATERLOO, IA 50701-9132
(319) 830-9591
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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