Individual
LOREN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 14TH ST NW LOT 31, DEVILS LAKE, ND 58301-4204
(701) 230-0306
Mailing address
1203 14TH ST NW LOT 31, DEVILS LAKE, ND 58301-4204
(701) 230-0306
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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