Individual
MISS SOPHIE ELIZABETH LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
1809 E MILWAUKEE ST STE 107, JANESVILLE, WI 53545-2645
(608) 774-7424
Mailing address
1341 CENTER AVE, JANESVILLE, WI 53546-2437
(608) 774-7424
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2058-55
WI
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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