Individual
SOPHIA LOUISE HOWARD LARRIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1462 CLIFTON RD NE, SUITE 280, ATLANTA, GA 30322
(404) 727-7825
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2019
Last updated
01/18/2022
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