Individual
EMMA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 PATRIOT CT, TEMPLE, TX 76502-6067
(503) 841-3221
Mailing address
907 PATRIOT CT, TEMPLE, TX 76502-6067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
938556
TX
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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