Individual
RYAN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-7259
Mailing address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-7259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000066
CA
Other
Enumeration date
03/27/2014
Last updated
09/25/2014
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