Individual
TRACY BRENT LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2615 CHESTER AVE, BAKERSFIELD, CA 93301-2014
(661) 395-3000
Mailing address
2635 G ST, BAKERSFIELD, CA 93301-2813
(661) 633-1500
(661) 633-2700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000043
CA
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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