Individual
MS. EMMA C LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(503) 313-2366
Mailing address
9104 NE 63RD ST, VANCOUVER, WA 98662-4453
(360) 909-7149
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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