Individual
IRENE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
700 KATLIAN ST STE E, SITKA, AK 99835-7359
(907) 747-5861
(907) 747-5415
Mailing address
700 KATLIAN ST STE E, SITKA, AK 99835-7359
(907) 747-5861
(907) 747-5415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
85
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT34621
—
AK
Enumeration date
03/06/2007
Last updated
07/09/2007
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