Individual
MS. KATHY LYNN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
3846 MOUNTCLIFFE CT, SAN JOSE, CA 95136-1429
(386) 566-1569
Mailing address
324 NW 48TH BLVD, GAINESVILLE, FL 32607-2203
(386) 566-1569
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
00025135
CA
227900000X
Registered Respiratory Therapist
Primary
RT6515
FL
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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