Individual
ELIZABETH JORDANNA LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
197 LOMITA DR, STE B, MILL VALLEY, CA 94941
(415) 939-2504
(415) 389-5424
Mailing address
197 LOMITA DR, STE B, MILL VALLEY, CA 94941
(415) 939-2504
(415) 389-5424
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND92
CA
Other
Enumeration date
05/24/2006
Last updated
05/16/2012
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