Individual
REBECCA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6709 S MINNESOTA AVE STE 203, SIOUX FALLS, SD 57108-2593
(605) 274-2525
(605) 274-0620
Mailing address
6709 S MINNESOTA AVE STE 203, SIOUX FALLS, SD 57108-2593
(605) 274-2525
(605) 274-0620
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
137800
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137800
ARDMS
SD
Enumeration date
02/11/2014
Last updated
02/11/2014
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