Individual
MISS BARBARA JEAN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSRD
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1909
Mailing address
7856 WOOD REED DR, MADISON, WI 53719-4422
(608) 256-1909
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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