Individual
LARISSA PFEIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 S ANN ST, MARENGO, IL 60152-3006
(815) 347-6159
Mailing address
426 S ANN ST, MARENGO, IL 60152-3006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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