Individual
ZOEY L LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1989 S BAKER RD, BALSAM LAKE, WI 54810-2118
(715) 410-7990
Mailing address
1989 S BAKER RD, BALSAM LAKE, WI 54810-2118
(715) 410-7990
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
270670
WI
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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