Individual
LARISSA DEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10971 ALLEGHANY RD, DARIEN CENTER, NY 14040-9746
(585) 813-7216
Mailing address
10971 ALLEGHANY RD, DARIEN CENTER, NY 14040-9746
(585) 813-7216
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
668303
NY
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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