Organization
DONNA LARSEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA GRACE LARSEN MS, MBA, NUTRITIONIS (PRESIDENT)
(718) 836-5322
Entity
Organization
Contact information
Practice address
422 73RD ST, BROOKLYN, NY 11209-2610
(718) 836-5322
Mailing address
422 73 STREET, BROOKLYN, NY 11209
(718) 836-5322
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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