Individual
ELISE VALENTINE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 CAMINO DEL RIO S, STE 201, SAN DIEGO, CA 92108-3505
(619) 381-7748
Mailing address
409 CAMINO DEL RIO S, STE 201, SAN DIEGO, CA 92108-3505
(619) 381-7748
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-IXMNAD
CA
Other
Enumeration date
10/18/2023
Last updated
03/06/2024
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