Individual
MR. ADAM MICHAEL LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3650 AUBURN BLVD # C208, SACRAMENTO, CA 95821-2069
(916) 300-6576
Mailing address
2041 BRANDING IRON WAY, PLUMAS LAKE, CA 95961-9162
(513) 748-4907
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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