Individual
HOPE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 N 10TH AVE APT 10, WAUSAU, WI 54401-0824
(715) 302-4756
Mailing address
1921 N 10TH AVE APT 10, WAUSAU, WI 54401-0824
(715) 302-4756
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
634233
WI
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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