Individual
MELISSA ROSE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N LAKESIDE DR, LAKE WORTH, FL 33460-2307
(609) 213-9421
Mailing address
1001 N LAKESIDE DR, LAKE WORTH, FL 33460-2307
(609) 231-9421
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN9469534
FL
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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