Individual
DR. BRETT ROBERT LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3953 W STETSON AVE, HEMET, CA 92545-9687
(951) 652-4343
(951) 765-6039
Mailing address
3953 W STETSON AVE, HEMET, CA 92545-9687
(951) 652-4343
(951) 765-6039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13720
CA
Other
Enumeration date
06/25/2009
Last updated
12/09/2010
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