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Individual

HEATHER LARISCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1434 KENNEDY DR, KEY WEST, FL 33040-4008
(305) 296-6196
Mailing address
23011 SNAPPER LN, CUDJOE KEY, FL 33042-4331
(305) 296-6196

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9271925
FL

Other

Enumeration date
10/27/2014
Last updated
10/27/2014
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