Individual
TONI LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 25TH AVE S STE 213, FARGO, ND 58103-5202
(701) 235-2271
(701) 325-2338
Mailing address
1336 25TH AVE S STE 213, FARGO, ND 58103-5202
(701) 235-2271
(701) 325-2338
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
41090900
ND
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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