Individual
IDA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 GUM BRANCH RD, JACKSONVILLE, NC 28540-6272
(910) 353-4327
Mailing address
216 EMERALD RIDGE RD, JACKSONVILLE, NC 28546-8766
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1722
NC
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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