Individual
NELL LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10500 GIFFORD RD, OBERLIN, OH 44074-9403
(440) 315-2198
Mailing address
10500 GIFFORD RD, OBERLIN, OH 44074-9403
(440) 315-2198
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
4705862
OH
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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