Individual
RYAN PAUL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 7TH ST, HOQUIAM, WA 98550-2506
(360) 628-0393
Mailing address
201 7TH ST, HOQUIAM, WA 98550-2506
(360) 628-0393
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
UT000362280612
UT
Other
Enumeration date
07/26/2010
Last updated
02/22/2024
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