Individual
MS. SONIA LARSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48395 JOHNS RD, SOLDOTNA, AK 99669-9528
(907) 260-4095
Mailing address
48395 JOHNS RD, SOLDOTNA, AK 99669-9528
(907) 260-4095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27220
AK
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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