Individual
MRS. LARISA MARY ANN GORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1443 MAIN ST STE 130B, NAPA, CA 94559-1939
(707) 200-1178
Mailing address
7063 ELPHICK RD, SEBASTOPOL, CA 95472-4701
(530) 210-3618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86131553
CA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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