Individual
JAY H LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2941 S FILMORE ST, SALT LAKE CITY, UT 84106-3465
(801) 580-0903
Mailing address
2941 S FILMORE ST, SALT LAKE CITY, UT 84106-3465
(801) 580-0903
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
8260965-3102
UT
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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