Individual
CYNTHIA DIANE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
776 N PLAZA DR, MENDOTA HEIGHTS, MN 55120-1509
(651) 964-3446
Mailing address
545 BIRCHCREST DR APT 1, RIVER FALLS, WI 54022-3525
(715) 440-8005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005
MN
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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