Individual
MELISSA KAY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1325 MICHIGAN AVE, ADRIAN, MI 49221-2526
(517) 605-8014
Mailing address
5811 OHIO ST, BERKEY, OH 43504-9660
(517) 605-8014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704247109
MI
Other
Enumeration date
11/05/2013
Last updated
12/11/2014
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