Individual
MRS. KAREN K. LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD, MS
Contact information
Practice address
12605 LAKE HILLS DR, RIVERVIEW, FL 33569-6432
(813) 671-1090
Mailing address
12605 LAKE HILLS DR, RIVERVIEW, FL 33569-6432
(813) 671-1090
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND2428
FL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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