Individual
MS. CYNTHIA FAYE LARISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
21076 PIONEER TRL, COUNCIL BLUFFS, IA 51503-3902
(712) 355-1179
Mailing address
21076 PIONEER TRL, COUNCIL BLUFFS, IA 51503-3902
(712) 355-1179
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
069573
IA
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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