Individual
CHEYENNA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1628 CANTERBURY TRL APT 10O, MOUNT PLEASANT, MI 48858-6436
(989) 418-6215
Mailing address
1628 CANTERBURY TRL APT 10O, MOUNT PLEASANT, MI 48858-6436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703095254
MI
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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