Individual
MARIE-ANNE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5078 PACIFIC DUNES CIR, GUADALUPE, CA 93434
(805) 478-7881
Mailing address
5078 PACIFIC DUNES, GUADALUPE, CA 93434
(805) 478-7881
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
883
CA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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