Individual
MS. AMY ELIZABETH LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(605) 670-2552
Mailing address
6624 RICHLAND PL, SAN ANTONIO, TX 78244-1129
(605) 670-2552
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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